MOHAMMAD IMANDOUST M.D – NPI #1760416770
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MOHAMMAD IMANDOUST is a physician located in LAKE ELSINORE, CA. NPPES has assigned the NPI number 1760416770 to MOHAMMAD IMANDOUST on July 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAMMAD IMANDOUST below.

NPI Profile for
MOHAMMAD IMANDOUST

NPI Number
1760416770
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOHAMMAD IMANDOUST
Credentials
M.D
Primary location
3762 MISSION TRAIL SUITE F
LAKE ELSINORE, CA 92530
Phone: (951) 674-5686 Fax: (951) 674-4707
Mailing address
16222 TURTLEBACK RD
SAN DIEGO, CA 92127-2013
Phone: (858) 673-4553 Fax: (858) 673-4553
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
CA C50910

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.