Mehrdad Mark Mofid (NPI# 1225244155, PAC ID# 6204726029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1225244155 |
| PAC ID by PECOS | 6204726029 |
| Professional Enrollment ID | I20040616000611 |
| Full Name | Mehrdad Mark Mofid |
| Address |
4150 Regents Park Row Suite 300 La Jolla CA 92037-1417 |
| Gender | M |
| Credential | MD |
| Medical School | JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050115 | PALOMAR HEALTH DOWNTOWN CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 4150 Regents Park Row, Suite 300, La Jolla, CA 92037-1417 |
| Street Address |
4150 REGENTS PARK ROW SUITE 300 |
| City | LA JOLLA |
| State | CA |
| Zip | 92037-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Franke | Diagnostic Radiology | Ihs Radiology Medical Group Inc | 4150 Regents Park Row, Suite 195, La Jolla, CA 92037-9139 |
| Stephen E Lockwood | Oral Surgery | 4150 Regents Park Row, Suite 215, La Jolla, CA 92037-1414 | |
| Matthew W Gentile | Optometry | 4150 Regents Park Row, Suite 160, La Jolla, CA 92037-9138 | |
| William Umansky | Plastic and Reconstructive Surgery | 4150 Regents Park Row, Suite 260, La Jolla, CA 92037-1417 | |
| Glenn H Tsukada | Diagnostic Radiology | Ihs Radiology Medical Group Inc | 4150 Regents Park Row, Suite 195, La Jolla, CA 92037-9139 |
| Phillip E Reich | Diagnostic Radiology | Ihs Radiology Medical Group Inc | 4150 Regents Park Row, Suite 195, La Jolla, CA 92037-9139 |
| Richard G Stein | Chiropractic | 4150 Regents Park Row, Suite 192, La Jolla, CA 92037-1496 | |
| Christopher K Kolstad | Otolaryngology | 4150 Regents Park Row, Suite 325, La Jolla, CA 92037-9102 | |
| Jeffrey A Umansky | Plastic and Reconstructive Surgery | Jeffrey A Umansky Md A Medical Corporation | 4150 Regents Park Row, La Jolla, CA 92037-1417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjan Davoudi | Psychologist, Clinical | 3262 Holiday Court, Suite 220, La Jolla, CA 92037 | |
| Vanessa R Wang | Physician Assistant | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Robert R Varney | Interventional Radiology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Gordon Lee Kim | Gastroenterology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Peter D Aldrich | Internal Medicine | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Katrina I Deleon | Geriatric Medicine | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Virginia T Chan | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Laura J Nicholson | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Christopher L Marsh | Urology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Shazia M Jamil | Critical Care (intensivists) | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Find all physicians in zip 92037 | |||
| City | LA JOLLA |
| Zip Code | 92037 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | LA JOLLA + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Mehrdad Mark Mofid.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.