Individual
DR. ASSANASSIOS MOUSSA FALTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3400 WEST BALL RD, SUITE 202, ANAHEIM, CA 92804-3735
(714) 236-9663
Mailing address
3400 WEST BALL RD, SUITE 202, ANAHEIM, CA 92804-3735
(714) 236-9663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
133664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB230078
MEDICARE ID
CA
Enumeration date
02/05/2015
Last updated
03/30/2015
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