Basic Information
| Provider Information | |||||||||
| NPI: | 1467611244 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MOHEBATI | ||||||||
| FirstName: | ARASH | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 130 LA CASA VIA | ||||||||
| Address2: | BUILDING 3, SUITE 211 | ||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945983045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9259330984 | ||||||||
| FaxNumber: | 9259330986 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 LA CASA VIA | ||||||||
| Address2: | BLDG 3, SUITE 211 | ||||||||
| City: | WALNUT CREEK | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945983045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9259330984 | ||||||||
| FaxNumber: | 9259330986 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2008 | ||||||||
| LastUpdateDate: | 11/28/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 25MA08342500 | NJ | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.