Individual
MEHRAN MOUSSAVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
765 MEDICAL CENTER CT STE 211, CHULA VISTA, CA 91911-6600
(619) 616-2100
(619) 616-2104
Mailing address
754 MEDICAL CENTER CT, SUITE 204, CHULA VISTA, CA 91911-6654
(619) 616-2100
(619) 616-2104
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20A7241
CA
207RI0011X
Interventional Cardiology Physician
Primary
20A7241
CA
Other
Enumeration date
08/19/2006
Last updated
05/13/2022
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