Organization · Type 2 NPI
Mobin Ghavami MD
Emergency Care Clinic/Center · Lodi, CA
NPI number
1225600653
Active
Practice location
900 S Fairmont Ave Ste A
Lodi, CA 95240-5143
Mailing address
PO Box 331
Woodbridge, CA 95258-0331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | None listed |
| Emergency Care Clinic/Center Primary | 261QE0002X | None listed |
Emergency Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1225600653
Mobin Ghavami MD's National Provider Identifier is 1225600653, issued on Jul 14, 2021. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Lodi, CA. The record was last updated on Jul 14, 2021.