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General NPI Number Information
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NPI Number | 1619244993
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Entity Type | Organization
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Legal Business Name | OCEAN FRONT URGENT CARE P.C
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 31236 PALOS VERDES DR W
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5361
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Country | US
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Telephone | 760-686-3121
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Fax | 888-411-5121
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Provider Business Mailing Address
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Address Line | 31236 PALOS VERDES DR W
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5361
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Country | US
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Telephone | 760-686-3121
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Fax | 888-411-5121
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOSTAFA S RAHIMI
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Credential | M.D
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Telephone | 760-686-3121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | A89780
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License Number State | CA
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