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Organization
MOHSEN SAFAIE PT INC.
Active
Organization
MOHSEN SAFAIE PT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHSEN SAFAIE RPT (PRESIDENT)
(818) 389-6660
Entity
Organization
Contact information
Practice address
11650 RIVERSIDE DR, 2ND FLOOR, NORTH HOLLYWOOD, CA 91602-1093
(818) 755-6070
Mailing address
4843 ALMIDOR AVE, WOODLAND HILLS, CA 91364-3708
(818) 389-6660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT13563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT13563
CA LICENSE
CA
Enumeration date
10/23/2014
Last updated
10/23/2014
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