Mobin Ghavami Md

LBN: Mobin Ghavami Md
Mobin Ghavami Md is an health care organization with primary practice located at 900 S Fairmont Ave Ste A , Lodi CA 95240-5143. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Emergency Care. Ambulatory Health Care Facilities / Emergency Care is the primary health care specialty. Mobin Ghavami Md can be contacted via phone (209) 333-2500, or through Ghavami, Mobin via phone (209) 333-2500.

Contact Information

Primary practice address
900 S Fairmont Ave Ste A Lodi CA 95240-5143
Phone: (209) 333-2500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ghavami, Mobin Doctor of Medicine (MD)
Phone: (209) 333-2500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Ambulatory Health Care Facilities / Emergency Care 261QE0002X

Profile Details

NPI number 1225600653
LBN Legal business name Mobin Ghavami Md
DBA Doing business as
Authorized official Ghavami, Mobin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225600653 NPPES
California Other A54317 CA LICENSE

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