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Contact Information

JAMAL D MUSTAFA, MD
323 S HELIOTROPE AVE
MONROVIA, CA91016
 Phone: 626-408-9800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JAMAL D MUSTAFA · (Male)

NPI # 1366486854
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 08/06/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C52342
  • NM License # MD20030707
  • AZ Medicaid 771635
  • NM Medicaid 27400018
Hospital affiliation(s)
  • DESERT VALLEY HOSPITAL - (Acute Care)
    16850 BEAR VALLEY RD
    VICTORVILLE, CA 92395
  • VICTOR VALLEY COMMUNITY HOSPITAL - (Acute Care)
    15248 11TH ST
    VICTORVILLE, CA 92392
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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