IndividualActive
Jessica Mofidi, M.D.
NPI 1326581208 · Pediatric Sports Medicine Physician · Los Angeles, CA
Provider details
- NPI number
- 1326581208
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A153568 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
403 W Adams Blvd
Los Angeles, CA 90007-2664
Phone: (213) 742-1153
Approximate (ZIP-level) locationGet directions
Mailing address
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Registry dates
- Enumerated
- 2016-11-28
- Last updated
- 2021-12-06
- Certified
- 2020-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.