Fatemeh Abdollahi Mofakham, MD
Radiology, Diagnostic Radiology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1659652915
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1659652915
- Entity type
- Individual (NPI-1)
- Name
- Fatemeh Abdollahi Mofakham
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2011
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | A162178 | CA | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 35.130208 | OH |
Practice location
757 Westwood PlzLos Angeles, CA 90095-0006
Phone 310-301-6800
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone 310-301-8771
Other practice locations
9500 Euclid Ave # A21
Cleveland, OH 44195-0006
Cleveland, OH 44195-0006
Phone 216-444-6610
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