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Organization

SHAMS A. MOUSAVILAR,MD,INC.

Active
Other names
New Valley Pediatric Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAMS MOUSAVILAR (PEDIATRICIAN)
(626) 727-2150
Entity
Organization

Contact information

Practice address
1840 N HACIENDA BLVD STE 4, LA PUENTE, CA 91744-1143
(626) 727-2150
Mailing address
1840 N HACIENDA BLVD STE 4, LA PUENTE, CA 91744-1143
(626) 727-2150

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
06/27/2018
Last updated
06/27/2018
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