Individual
BABAK MOEINOLMOLKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 BROCKTON AVE, STE 205, LOS ANGELES, CA 90025-1372
(310) 694-4486
Mailing address
2080 CENTURY PARK E, SUITE 1508, LOS ANGELES, CA 90067-2001
(310) 694-4486
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
233310
NY
208600000X
Surgery Physician
29841
OK
208600000X
Surgery Physician
A92803
CA
208600000X
Surgery Physician
Primary
D63791
MD
208600000X
Surgery Physician
MD034439
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409412300
—
MD
Enumeration date
07/12/2006
Last updated
06/25/2015
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