# A S MOOSA MD A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1659577369
- **Authorized official:** AMOD MOOSA M.D. (OFFICER)
- **Authorized official phone:** (714) 375-6280

## Contact information

- **Practice address:** 3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
- **Practice address phone:** (310) 900-2005
- **Mailing address:** PO BOX 303, SURFSIDE, CA 90743-0303
- **Mailing address phone:** (714) 375-6280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | A246830 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2007
- **Last updated:** 08/27/2010