Individual
MOUSSA FAMININI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16661 VENTURA BLVD, # 818, ENCINO, CA 91436
(818) 501-3320
(818) 501-3414
Mailing address
16661 VENTURA BLVD, # 818, ENCINO, CA 91436
(818) 501-3320
(818) 501-3414
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A031134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A311340
BLUE SHIELD
CA
05
—
00A311340
—
CA
01
—
A31134
BLUE CROSS
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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