# TAMPA MEDICAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306633276
- **Authorized official:** SAM MASHHOUD (OFFICE DIRECTOR)
- **Authorized official phone:** (818) 400-9227

## Contact information

- **Practice address:** 6047 TAMPA AVE STE 102, TARZANA, CA 91356-1167
- **Practice address phone:** (818) 400-9227
- **Practice address fax:** (818) 337-2180
- **Mailing address:** 6047 TAMPA AVE STE 102, TARZANA, CA 91356-1167
- **Mailing address phone:** (818) 400-9227
- **Mailing address fax:** (818) 337-2180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2025
- **Last updated:** 04/23/2025