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Individual

OMID MODARRES MOUSAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12130 PARAMOUNT BLVD, DOWNEY, CA 90242-2339
(323) 889-7830
Mailing address
200 NEWPORT CENTER DR STE 303, NEWPORT BEACH, CA 92660-7504

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A121076
CA

Other

Enumeration date
05/06/2009
Last updated
11/10/2025
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