Individual
FARSHID MOOSSAZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11633 HAWTHORNE BLVD, SUITE 300, HAWTHORNE, CA 90250-2324
(310) 355-1950
(310) 355-1957
Mailing address
11633 HAWTHORNE BLVD, SUITE 300, HAWTHORNE, CA 90250-2321
(310) 355-1950
(310) 355-1957
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G790110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G790110
—
CA
Enumeration date
11/15/2006
Last updated
10/01/2020
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