Individual
DR. STAVROS N. MOYSIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5400 BALBOA BLVD STE 126, ENCINO, CA 91316
(818) 578-0004
(818) 578-0002
Mailing address
5400 BALBOA BLVD STE 126, ENCINO, CA 91316-5202
(818) 578-0004
(818) 578-0002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A136463
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A136463
CA
Other
Enumeration date
06/20/2013
Last updated
06/08/2023
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