MEDICARE: DR. SAHAR MOSADEGH MD

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	208M00000X	Hospitalist Physician	C152923	CA

General Provider Information

NPI Number	:	1518102391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAHAR MOSADEGH MD

Provider Business Mailing Address
First Line	:	501 WASHINGTON ST STE 525
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2239
Country	:	US
Telephone Number	:	619-260-7125
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 WASHINGTON ST STE 525
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2239
Country	:	US
Telephone Number	:	619-260-7125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2008
Last Update Date	:	10/19/2018

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