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NPI Code Detail

MEDICARE: MOJGAN KHALPARI DO

MEDICARE: MOJGAN KHALPARI DO
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
12085R0202XDiagnostic Radiology Physician20A6564CA

General Provider Information

NPI Number : 1518945435
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOJGAN KHALPARI DO
Provider Business Mailing Address
First Line : 101 CALIFORNIA AVE
Second Line : 1001
City : SANTA MONICA
State : CA
Zip : 90403-3515
Country : US
Telephone Number : 310-451-1000
Fax Number : 310-451-1000
Provider Business Practice Location Address
First Line : 6041 CADILLAC AVE
Second Line : DEPT OF RADIOLOGY
City : LOS ANGELES
State : CA
Zip : 90034-1702
Country : US
Telephone Number : 323-851-2438
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 11/29/2021

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