Individual
DR. PEJMAN MOSHE MOTARJEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
14499
NV
2085R0202X
Diagnostic Radiology Physician
221703
MA
2085R0202X
Diagnostic Radiology Physician
Primary
A121075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982913794
—
CA
05
—
1982913794
—
NV
05
—
200469370 A
—
OK
01
—
P01168768
RR MEDICARE
NV
Enumeration date
09/28/2010
Last updated
11/18/2020
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