MEDICARE: BRIAN MOZAFFARI M.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1316590078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIAN MOZAFFARI M.D., INC.

Provider Business Mailing Address
First Line	:	PO BOX 880267
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92168-0267
Country	:	US
Telephone Number	:	858-754-8833
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 CAMINO DEL RIO N
Second Line	:	STE 202 #880267
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-1523
Country	:	US
Telephone Number	:	858-754-8833
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIST
Name	:	BRIAN MOZAFFARI
Credential	:	MD
Telephone Number	:	858-754-8833

Provider Enumeration Date	:	07/22/2019
Last Update Date	:	02/04/2026

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