Koosha Mortazavi is a Nephrology in Oxnard, California. Koosha Mortazavi practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Koosha Mortazavi is 1215966999. The last update date is 2010-01-14.
Koosha Mortazavi's current location address is 1200 W Gonzales Rd, Oxnard, California. You can contact this provider via phone number 8052789094 and fax number 8052788964. The mailing address for Koosha Mortazavi is 1200 W Gonzales Rd, Oxnard, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Koosha Mortazavi |
|---|---|
| Address | 1200 W Gonzales Rd, Oxnard, California |
| Phone Number | 8052789094 |
| Fax Number | 8052788964 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215966999 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2010-01-14 |
Provider Mailing Address Detail
| Address | 1200 W Gonzales Rd |
|---|---|
| City | Oxnard |
| State | California (CA) |
| Post Code | 930363072 |
| Phone Number | 8052789094 |
| Fax Number | 8052788964 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A91559 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ75566Z | CA | -- | |
| 110039977 | CA | MEDICARE RAILROAD | |
| ZZZ34679Z | CA | BLUE CROSS |
Post Comment/ Review Below
What is the unique identifier code issued to Koosha Mortazavi by the Centers for Medicare & Medicaid Services (CMS)?
The Koosha Mortazavi has been assigned the NPI (National Provider Identifier) 1215966999. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Koosha Mortazavi is physically located?
The Koosha Mortazavi is situated at the following address: 1200 W Gonzales Rd, Oxnard, CA 930363072.
What is Koosha Mortazavi's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Koosha Mortazavi is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.
On what date was the 1215966999 assigned to Koosha Mortazavi?
The Koosha Mortazavi was issued its 1215966999 on 2006-07-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Koosha Mortazavi, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Koosha Mortazavi, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-14.