Organization
MOSHE FAYNSOD, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSHE FAYNSOD M.D. (PRESIDENT)
(310) 514-1150
Entity
Organization
Contact information
Practice address
1360 W 6TH ST, SUITE 315, SAN PEDRO, CA 90732-3514
(310) 514-1150
Mailing address
1360 W 6TH ST, SUITE 315, SAN PEDRO, CA 90732-3514
(310) 514-1150
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
AO65167
CA
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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