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Contact Information

OMID MOSHTAGHI, MD
5565 GROSSMONT CENTER DR BLDG. 3, SUITES 101 & 154
LA MESA, CA91942
 Phone: 619-464-3353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for OMID MOSHTAGHI · (Male)

NPI # 1730675927
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2018
Last updated 07/13/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A163768
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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