Mazdak Momeni
Gynecologic Oncologist
11234 Anderson Street Shuman Pavilion Room A 220
Loma Linda
, California 92354
Mazdak Momeni
Gynecologic Oncologist
11234 Anderson Street Shuman Pavilion Room A 220
Loma Linda
, California 92354
(909) 558-2262
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Mazdak Momeni
- 11234 Anderson Street Shuman Pavilion Room A 220
- Loma Linda, CA
- Zip : 92354
- Phone : (909) 558-2262
Second Address
- Mazdak Momeni
- 11234 Anderson Street Shuman Pavilion Room A 220
- Loma Linda, CA
- Zip : 92354
- Phone : (909) 558-2262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | A131261 | CA |
National Provider Identifier
| NPI | 1275865917 |
|---|---|
| Provider Name | Mazdak Momeni |
| First Address | Loma Linda, CA 92354 |
| Second Address | Loma Linda, CA 92354 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/02/2010 |
| Last Update Date | 14/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.