MEDICARE: VAHID MISSAGHI M.D.,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A63241	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104846955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAHID MISSAGHI M.D.,

Provider Business Mailing Address
First Line	:	3229 SANTA ANITA AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-1359
Country	:	US
Telephone Number	:	626-575-4584
Fax Number	:	626-575-0882

Provider Business Practice Location Address
First Line	:	3229 SANTA ANITA AVE
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91733-1359
Country	:	US
Telephone Number	:	626-575-4584
Fax Number	:	626-575-0882

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	02/20/2026

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