Marjan Moallem O.D.

NPI 1497935274 - Optometrist - 152W00000X

NPI Details
NPI 1497935274
Gender Female
Enumeration Date 11/08/2007
Last Updated 11/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3182 KIRK RD
SAN JOSE CA, 95124-2442, US
Phone (650) 278-0330
Fax (925) 226-3935
Business Location
3182 KIRK RD
SAN JOSE CA, 95124-2442, US
Phone (650) 278-0330
Fax (925) 226-3935
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 11706
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According to our database, Dr. Marjan Moallem O.D. NPI is 1497935274, taxonomy code is 152W00000X and license number is 11706, license state is located at California. Marjan Moallem O.D. physically located at 3182 Kirk Rd, San Jose CA, 95124-2442. NPI Number Marjan Moallem O.D. has the Individual type.

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1497935274 NPI number is provided on an as is basis without warranty of any kind. 1497935274 is maintained by the National Plan & Provider Enumeration System. The contents of Marjan Moallem O.D. are for informational purposes only.