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General NPI Number Information
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NPI Number | 1851389464
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Entity Type | Individual
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Provider Name | MUHAMMAD RAHMI MOWJOOD DO
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Gender | Male
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Dates
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Enumeration Date | 10/07/2005
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 16465 SIERRA LAKES PKWY SUITE 300
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City | FONTANA
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State | CA
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Zip | 92336-1242
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Country | US
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Telephone | 909-429-2864
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Fax | 909-429-2868
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Provider Business Mailing Address
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Address Line | 16465 SIERRA LAKES PKWY SUITE 300
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City | FONTANA
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State | CA
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Zip | 92336
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Country | US
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Telephone | 909-429-2864
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Fax | 909-429-2868
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A8033
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License Number State | CA
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