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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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