Provider Demographics
NPI:1679622872
Name:ALMASSI, MEHRNOOSH (MD)
Entity Type:Individual
Prefix:
First Name:MEHRNOOSH
Middle Name:
Last Name:ALMASSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 GRANT ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2266
Mailing Address - Country:US
Mailing Address - Phone:925-356-8990
Mailing Address - Fax:925-356-8997
Practice Address - Street 1:2700 GRANT ST
Practice Address - Street 2:SUITE 306
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2266
Practice Address - Country:US
Practice Address - Phone:925-356-8990
Practice Address - Fax:925-356-8997
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74962207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H92803Medicare UPIN
CAZZZ14654ZMedicare ID - Type Unspecified