Individual provider · Type 1 NPI

Mahmood Fathollazadeh, PA-C

Physician Assistant · Colton, CA

NPI number 1386711158 Active

Practice location

1850 E Washington St
Colton, CA 92324-4621

Fax (909) 887-5694

Other practice locations

  • 9961 Sierra Ave, Fontana, CA 92335-6720 · (909) 427-3910

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA12070 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

15 other providers at this address

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About NPI 1386711158

Mahmood Fathollazadeh, PA-C's National Provider Identifier is 1386711158, issued on Nov 29, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Colton, CA. The record was last updated on Jul 18, 2023.