Organization
WASIM MOUAZZEN M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASIM MOUAZZEN MD (PRESIDENT)
(626) 327-2763
Entity
Organization
Contact information
Practice address
415 W ROUTE 66 STE 101, GLENDORA, CA 91740-4335
(626) 327-2763
Mailing address
1239 FOXGLOVE CT, GLENDORA, CA 91741-6605
(626) 327-2763
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/27/2024
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