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General NPI Number Information
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NPI Number | 1225501133
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Entity Type | Organization
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Legal Business Name | MOKABBERI MD INC
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1140 W LA VETA AVE STE 400
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City | ORANGE
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State | CA
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Zip | 92868-4226
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Country | US
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Telephone | 949-774-7777
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Fax | 714-543-8553
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Provider Business Mailing Address
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Address Line | 1140 W LA VETA AVE STE 400
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City | ORANGE
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State | CA
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Zip | 92868-4226
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Country | US
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Telephone | 949-774-7777
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Fax | 714-543-8553
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Authorized Official
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Title or Position | PRESIDENT
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Name | RASOUL MOKABBERI
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Credential | MD
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Telephone | 949-436-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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