Individual
DR. MOUSSA MOSHFEGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6221 WILSHIRE BLVD, SUITE 404, LOS ANGELES, CA 90048-5201
(323) 933-3810
(323) 933-7522
Mailing address
6221 WILSHIRE BLVD, SUITE 404, LOS ANGELES, CA 90048-5201
(323) 933-3810
(323) 933-7522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A38055
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380550
—
CA
Enumeration date
07/17/2007
Last updated
07/24/2020
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