Organization
TELEHEALTH MSO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEL MOSTAFAVI MD (CEO)
(949) 400-2488
Entity
Organization
Contact information
Practice address
801 S GRAND AVE STE 475, LOS ANGELES, CA 90017-4622
(949) 400-2488
Mailing address
801 S GRAND AVE STE 475, LOS ANGELES, CA 90017-4622
(949) 400-2488
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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