Individual
AMOD S MOOSA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2636
(310) 900-2005
(714) 841-7661
Mailing address
PO BOX 303, SURFSIDE, CA 90743-0303
(714) 375-6280
(714) 941-7661
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A24683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A246830
—
CA
Enumeration date
06/21/2006
Last updated
05/03/2026
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