MEDICARE: MOKABBERI MD INC

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	207RC0001X	Clinical Cardiac Electrophysiology Physician
2	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1225501133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOKABBERI MD INC

Provider Business Mailing Address
First Line	:	1140 W LA VETA AVE STE 400
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4226
Country	:	US
Telephone Number	:	949-774-7777
Fax Number	:	714-543-8553

Provider Business Practice Location Address
First Line	:	1140 W LA VETA AVE STE 400
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-4226
Country	:	US
Telephone Number	:	949-774-7777
Fax Number	:	714-543-8553

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RASOUL MOKABBERI
Credential	:	MD
Telephone Number	:	949-436-3773

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	04/06/2026

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Directions to “MOKABBERI MD INC ” Practice Location

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