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Individual

REZA MOSTOFI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5215 TORRANCE BLVD, TORRANCE, CA 90503-4009
(310) 750-1715
(310) 792-6551
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
25MA0858890
NJ
207RH0003X
Hematology & Oncology Physician
C1-0009044
DE
207RH0003X
Hematology & Oncology Physician
Primary
C56205
CA
207RH0003X
Hematology & Oncology Physician
MD430067
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02333707-0001
PA
Enumeration date
12/13/2007
Last updated
11/18/2020
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