Individual
LINDA MOGHTADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12300 WILSHIRE BLVD, SUITE 330, LOS ANGELES, CA 90025-1020
(310) 442-7601
Mailing address
12300 WILSHIRE BLVD, SUITE 330, LOS ANGELES, CA 90025-1020
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
G56261
CA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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