Look up the most recent NPI and PECOS records

Eimaneh Mostofian

General Practice

Allopathic & Osteopathic Physicians

34800 Bob Wilson Dr, San Diego, CA 92134-1098

PECOS Enrollment

Based on the most recent information from CMS, provider Eimaneh Mostofian is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1154477628
Provider Type
Individual
Full Name
Mostofian, Eimaneh
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/26/2007
Last Updated
7/8/2007

Contact Information

Practice Location

34800 Bob Wilson Dr, San Diego, CA 92134-1098

(619) 532-7295

Unlisted Fax

Mailing Location

2050 Camino De La Reina Unit 110, San Diego, CA 92108-5515

(619) 929-8652

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License A97181 California

Eimaneh Mostofian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Elliott, Isabel Clare

Peters, Sara Nolte

Dukate, Loren Robert

Roberts, Scott James

Adkins, Caleb Forrest

Owens, Cole James

Schlager, Samuel Harrison

Costantini, Leonard Reynold

Clavijo Fernandez, Marcos Antonio

Thai, David