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MOHAMMAD ALI AKBARI PA-C
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1558462515
Individual Registrant: MOHAMMAD ALI AKBARI PA-C
Gender: M
Not Sole Proprietor
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
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
Tel: 562-499-6191 Fax: 562-499-6171
Registration Information:
NPI: 1558462515
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | CA | PA17622 |
| N | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | CA | PA17622 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| EFFECTIVE: 12/7/2011 | CA | 05 |
