Nikravesh, Mastaneh

Nikravesh, Mastaneh is an individual health care provider with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Nikravesh, Mastaneh can be contacted via phone (619) 740-6000.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942-3019
Phone: (619) 740-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A176795 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X A176795 California

Profile Details

NPI number 1508429143
LBN Legal business name Nikravesh, Mastaneh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2019
Last updated Mar 11th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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