Mojtaba Moghadam
Medical Specialty
Professional ID
- NPI: 1932114733
- PECOS ID: 9335186519
- Enrollment ID: I20091203000598
- Credential(MD, DO, DPM):
- Medical School: University Of Oklahoma College Of Medicine
- Medical School Graduation Year: 1980
Hospital Service
- Hospital CCN1: 050382
- Business Name (LBN)1: Citrus Valley Medical Center-ic Campus
- Hospital CCN2: 050588
- Business Name (LBN)2: San Dimas Community Hospital
- Hospital CCN3: 050231
- Business Name (LBN)3: Pomona Valley Hospital Medical Center
- Hospital CCN4: 050597
- Business Name (LBN)4: Foothill Presbyterian Hospital
Medical Practices
- Organization Name: California Kidney Specialists
- Group Practice ID assigned by PECOS: 0345232096
- Number of Group Practice member: 10
Location
- Address1: 1335 Cypress St
- Address2: 205 206
- City: San Dimas
- State: California
- Zip Code: 91773
- Phone Number: (909)542-2777
Location
- Address1: 315 N 3rd Ave
- Address2: Suite 104
- City: Covina
- State: California
- Zip Code: 91723
- Phone Number: (909)542-2777
Location
- Address1: 901 San Bernardino Rd
- Address2: Suite 104
- City: Upland
- State: California
- Zip Code: 91786
- Phone Number: (909)542-2777
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):