AMIR HOSSEIN MORTAZAVIENTESAB

PALM DESERT, CA
NPI1073052791
Professional NameAMIR MORTAZAVI
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A166476)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-02-14
Last Update Date2020-07-09
Business Address
Dr. AMIR HOSSEIN MORTAZAVIENTESAB M.D.
78120 WILDCAT DR
PALM DESERT, CA 92211-1140
Phone number: 760-340-2682
Mailing Address
Dr. AMIR HOSSEIN MORTAZAVIENTESAB M.D.
78120 WILDCAT DR
PALM DESERT, CA 92211-1140
Phone number: 760-340-2682