Mahmood Fathollazadeh in Colton - Physician Assistant
Mahmood Fathollazadeh - NPI 1386711158
Mahmood Fathollazadeh is a Physician Assistant in Colton, California. Mahmood Fathollazadeh practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mahmood Fathollazadeh is 1386711158. The last update date is 2023-07-18.
Mahmood Fathollazadeh's current location address is 1850 E Washington St, Colton, California. You can contact this provider via phone number 9098872991 and fax number 9098875694. The mailing address for Mahmood Fathollazadeh is 1850 E Washington St, Colton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mahmood Fathollazadeh |
|---|---|
| Address | 1850 E Washington St, Colton, California |
| Phone Number | 9098872991 |
| Fax Number | 9098875694 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1386711158 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2023-07-18 |
Provider Mailing Address Detail
| Address | 1850 E Washington St |
|---|---|
| City | Colton |
| State | California (CA) |
| Post Code | 923244621 |
| Phone Number | 9098872991 |
| Fax Number | 9098875694 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA12070 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mahmood Fathollazadeh?
The Mahmood Fathollazadeh has been issued the NPI (National Provider Identifier) 1386711158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mahmood Fathollazadeh's facilities are geographically located?
The facilities of Mahmood Fathollazadeh are physically situated at the following location: 1850 E Washington St, Colton, CA, 923244621.
What is Mahmood Fathollazadeh's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mahmood Fathollazadeh is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Mahmood Fathollazadeh receive the assignment of its 1386711158 from the Centers for Medicare & Medicaid Services?
The Mahmood Fathollazadeh was issued its 1386711158 by the Centers for Medicare & Medicaid Services on 2006-11-29.
As of what date were the Mahmood Fathollazadeh's details last updated?
The information pertaining to the Mahmood Fathollazadeh, including its address, specialty, and other details, was most recently updated on 2023-07-18.