Individual
ASHKAN MOAZZEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.P.H
Contact information
Practice address
1000 W CARSON ST, BOX 15, TORRANCE, CA 90502-2004
(310) 222-2775
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A89671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A896710
BLUE SHIELD PIN
CA
05
—
00A896710
—
CA
Enumeration date
07/12/2007
Last updated
03/12/2026
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