Individual
DR. SHAYAN TORABI MOGHADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
(703) 501-0410
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A20421
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/18/2019
Last updated
12/05/2022
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