| Doctor Name: | DR. ABDELSALAM MOGASBE |
| NPI Number: | 1891868550 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | A97753 |
| Business Practice Address: | 4030 Moorpark Ave San Jose, CA - 95117 |
| Business Phone Number: | 4085966278 |
| Business Fax Number: | |
| Mailing Address: | 4030 Moorpark Ave, Suite 251 SAN JOSE |
| State: | CA |
| Postal Code: | 951172218 |
| Phone Number: | 4085966278 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 01/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A97753 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |