Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mansour Mofidi, DO

Individual provider Internal Medicine Physician · NPI 1164598843

Mansour Mofidi, DO is an Internal Medicine in LA Mesa, California. Graduated from Western University of Health Sciences College of Dental Med in 1998, 28 years ago. Practices with Mansour Mofidi DO Inc, a 2-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
28
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
CA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 740-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 — (619) 857-2569

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A7485 (CA)

Record details

NPI number1164598843
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 27, 2006
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023
Mailing addressPo Box 2303, La Mesa, CA 91943-2303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 1998 (28 years in practice)
Group practice Mansour Mofidi Do Inc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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