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1275641102 NPI number — ELAHEH MOZAFFARIAN PT

NPI Number: 1275641102
Health Care Provider/Practitioner: ELAHEH MOZAFFARIAN PT

Information about “1275641102” NPI (ELAHEH MOZAFFARIAN PT) exists in 1275641102 in HTML format HTML  |  1275641102 in plain Text format TXT  |  1275641102 in PDF (Portable Document Format) PDF  |  1275641102 in an XML format XML  formats.

NPI Number : 1275641102 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1275641102",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MOZAFFARIAN",
    "FirstName": "ELAHEH",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAHNAMAIE",
    "OtherFirstName": "ELAHEH",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "PT",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5706 BALTIMORE DR",
    "SecondLineMailingAddress": "#343",
    "MailingAddressCityName": "LAMESA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91942-1655",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-559-1449",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "9745 PROSPECT AVE",
    "SecondLinePracticeLocationAddress": "STE 102",
    "PracticeLocationAddressCityName": "SANTEE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92071-4273",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-449-8946",
    "PracticeLocationAddressFaxNumber": "619-449-5127",
    "EnumerationDate": "08/29/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT6916",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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