Individual
KASSAHUN G MOGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
21515 HAWTHORNE BLVD, TORRANCE, CA 90503-6501
(626) 776-3022
(626) 776-2370
Mailing address
28494 OLD SPANISH TRL, SANTA CLARITA, CA 91390-5260
(626) 776-3022
(626) 776-2370
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95035016
CA
Other
Enumeration date
05/09/2025
Last updated
02/10/2026
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