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Ana Mohammad-zadeh

NPI Registration Record

Provider / OrganizationNPIDate Certified
ANA MOHAMMAD-ZADEH12155540762020-06-28
Entity TypeIndividual
Provider Name Ana Mohammad-zadeh
Practice Office Address17289 RUSSET ST
SAN DIEGO, CA US
Practice Office Telephone8583531242
Mailing Address17289 RUSSET ST
SAN DIEGO, CA 921272135 US
HPT Codes
CodeLicense NoState
390200000X PRIMARY
OPI Codes

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