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Organization
MOJGAN MAKHSOOSI, M.D. INC.
Active
Organization
MOJGAN MAKHSOOSI, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJGAN MAKHSOOSI (PRESIDENT)
(805) 915-0315
Entity
Organization
Contact information
Practice address
2750 SYCAMORE DR, SUITE 209, SIMI VALLEY, CA 93065-1502
(805) 915-0315
(805) 915-0317
Mailing address
PO BOX 6604, THOUSAND OAKS, CA 91359-6604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70736
CA
Other
Enumeration date
12/21/2006
Last updated
08/31/2011
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