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General NPI Number Information
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NPI Number | 1316590078
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Entity Type | Organization
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Legal Business Name | BRIAN MOZAFFARI M.D., INC.
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 1640 CAMINO DEL RIO N STE 202 #880267
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City | SAN DIEGO
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State | CA
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Zip | 92108-1523
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Country | US
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Telephone | 858-754-8833
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 880267
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City | SAN DIEGO
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State | CA
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Zip | 92168-0267
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Country | US
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Telephone | 858-754-8833
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | BRIAN MOZAFFARI
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Credential | MD
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Telephone | 858-754-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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