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MOHAMMAD ALI AKBARI PA-C

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1558462515

Individual Registrant:
 MOHAMMAD ALI AKBARI PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
24853 ALESSANDRO BLVD  MORENO VALLEY, CA 92553-6102 US
Tel: 951-571-8518  Fax: 562-485-7748

Contact information for business:
200 OCEANGATE SUITE 100 LONG BEACH, CA 90802-4302 US
Tel: 562-499-6191  Fax: 562-499-6171

Registration Information:
NPI: 1558462515
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
CAPA17622
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CAPA17622

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
EFFECTIVE: 12/7/2011CA05




HEALTH CARE JOBS CA - Page 1



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