Organization
MEHRAN MOVASSAGHI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN MOVASSAGHI MD (PRESIDENT)
(310) 277-2929
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK EAST, SUITE 1407, LOS ANGELES, CA 90067-2017
(310) 277-2929
(310) 709-8094
Mailing address
2080 CENTURY PARK EAST, SUITE 1407, LOS ANGELES, CA 90067-2017
(310) 277-2929
(310) 709-8094
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A101122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A101122
MEDICAL STATE LICENSE
CA
Enumeration date
04/30/2015
Last updated
04/30/2015
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