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Individual

DR. MOSHE S HENDIZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10966 W PICO BLVD, LOS ANGELES, CA 90064-2115
(310) 422-6111
(310) 861-9926
Mailing address
10966 W PICO BLVD, LOS ANGELES, CA 90064-2115
(310) 422-6111
(310) 861-9926

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A139684
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A139684
STATE LICENSE
CA
Enumeration date
11/20/2014
Last updated
05/06/2021
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