MEDICARE: MUHAMMAD RAHMI MOWJOOD DO

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	207Q00000X	Family Medicine Physician	20A8033	CA

General Provider Information

NPI Number	:	1851389464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD RAHMI MOWJOOD DO

Provider Business Mailing Address
First Line	:	16465 SIERRA LAKES PKWY
Second Line	:	SUITE 300
City	:	FONTANA
State	:	CA
Zip	:	92336
Country	:	US
Telephone Number	:	909-429-2864
Fax Number	:	909-429-2868

Provider Business Practice Location Address
First Line	:	16465 SIERRA LAKES PKWY
Second Line	:	SUITE 300
City	:	FONTANA
State	:	CA
Zip	:	92336-1242
Country	:	US
Telephone Number	:	909-429-2864
Fax Number	:	909-429-2868

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	02/19/2008

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