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Contact Information

EMMANUEL R MOFU, MD
495 NORTH MAIN STREET
BLYTHE, CA92225
 Phone: 760-922-3141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for EMMANUEL R MOFU · (Male)

NPI Number 1598895955
Status Active
Credentials MD
Entity Individual
Enumeration date 03/06/2007
Last updated 12/02/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C36558
Hospital affiliation(s) Not Available
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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