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General NPI Number Information
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NPI Number | 1194172478
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Entity Type | Individual
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Provider Name | DAVID AHMED MOMAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 42362 BOB HOPE DR STE 1
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-4483
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Country | US
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Telephone | 760-341-4839
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Fax | 760-340-3536
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Provider Business Mailing Address
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Address Line | 3660 PARK SIERRA DR STE 203
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City | RIVERSIDE
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State | CA
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Zip | 92505-3071
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Country | US
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Telephone | 951-687-3400
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Fax | 951-687-7630
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD468857
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD468857
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A175720
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License Number State | CA
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