Individual
MOUSA SHAMONKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, SUITE 430, LOS ANGELES, CA 90095-0001
(310) 794-7274
Mailing address
PO BOX 24DD5 WESTWOOD STATION, LOS ANGELES, CA 90024
(310) 794-7274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A95374
CA
207VG0400X
Gynecology Physician
A95374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A953740
—
CA
Enumeration date
05/23/2006
Last updated
04/19/2010
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