Provider Demographics
NPI:1336388560
Name:MOZAFFARI, BRIAN BEZORGMEHR (MD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:BEZORGMEHR
Last Name:MOZAFFARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 880267
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92168-0267
Mailing Address - Country:US
Mailing Address - Phone:858-754-8833
Mailing Address - Fax:
Practice Address - Street 1:9095 RIO SAN DIEGO DR STE 250
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1699
Practice Address - Country:US
Practice Address - Phone:858-754-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1251842084P0800X
TXP28992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry