Active NPIIndividual provider

Fatemeh Abdollahi Mofakham, MD

Radiology, Diagnostic Radiology in Los Angeles, California

NPI Number1659652915
Practice location
757 Westwood Plz, Los Angeles, CA 90095-0006
Fax
—
Last updated
November 10, 2022

Fatemeh Abdollahi Mofakham is a Radiology, Diagnostic Radiology based in Los Angeles, CA. Fatemeh Abdollahi Mofakham practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Fatemeh Abdollahi Mofakham is 1659652915 and holds a License No. A162178 (CA). The current practice location address for Fatemeh Abdollahi Mofakham is 757 Westwood Plz, Los Angeles, CA 90095-0006 and can be reached out via phone at 310-301-6800.

Provider Profile Details

NPI Number
1659652915
Provider Name
Fatemeh Abdollahi Mofakham
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
757 Westwood Plz, Los Angeles, CA 90095-0006
Phone Number
310-301-6800
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2011
Last Update Date
November 10, 2022
Certification Date
November 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
757 Westwood Plz
Los Angeles, CA 90095-0006
Zip
90095-0006
Phone Number
310-301-6800
Los Angeles, CA 90095Get directions →

Provider Business Mailing Address Details

Address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
City
Los Angeles
State
CA
Zip
90045-5631
Phone Number
310-301-8771

License Information

License Number (1)
A162178
License State (1)
CA
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X · Primary
License Number (2)
35.130208
License State (2)
OH
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Fatemeh Abdollahi Mofakham, MD?

The NPI number of Fatemeh Abdollahi Mofakham, MD is 1659652915. It was assigned on August 31, 2011 and is currently active in the NPPES registry.

What is the specialty of Fatemeh Abdollahi Mofakham, MD?

Fatemeh Abdollahi Mofakham, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CA under license number A162178.

Where does Fatemeh Abdollahi Mofakham, MD practice?

The practice location is 757 Westwood Plz, Los Angeles, CA 90095-0006. The office can be reached at 310-301-6800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659652915 directly on the NPPES registry website.

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