Organization
A S MOOSA MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOD MOOSA M.D. (OFFICER)
(714) 375-6280
Entity
Organization
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-2005
Mailing address
PO BOX 303, SURFSIDE, CA 90743-0303
(714) 375-6280
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A246830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0062660
—
CA
Enumeration date
06/21/2007
Last updated
08/27/2010
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