Mostafa Maxwell Nazari
Prosthodontist
355 S Lemon Ave Suite P
Walnut
, California 91789-2737
Mostafa Maxwell Nazari
Prosthodontist
355 S Lemon Ave Suite P
Walnut
, California 91789-2737
(909) 598-2157
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Mostafa Maxwell Nazari
- 24933 Prospect Ave
- Loma Linda, CA
- Zip : 92354-2811
- Fax : (909) 598-2157
- Phone : (909) 598-9097
Second Address
- Mostafa Maxwell Nazari
- 355 S Lemon Ave Suite P
- Walnut, CA
- Zip : 91789-2737
- Fax : (909) 598-2157
- Phone : (909) 598-9097
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 50652 | CA |
National Provider Identifier
| NPI | 1134263320 |
|---|---|
| Provider Name | Mostafa Maxwell Nazari |
| First Address | Loma Linda, CA 92354-2811 |
| Second Address | Walnut, CA 91789-2737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2007 |
| Last Update Date | 08/07/2007 |
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.