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General NPI Number Information
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NPI Number | 1093948176
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Entity Type | Individual
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Provider Name | ARASH MOZAYAN ISFAHANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 477 N EL CAMINO REAL SUITE 302
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City | ENCINITAS
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State | CA
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Zip | 92024-1328
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Country | US
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Telephone | 858-888-2472
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Fax |
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Provider Business Mailing Address
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Address Line | 477 N EL CAMINO REAL STE C302
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City | ENCINITAS
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State | CA
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Zip | 92024-1354
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Country | US
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Telephone | 760-300-3270
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A125387
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License Number State | CA
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