Organization
MASSOUD H. AGAHI, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASSOUD H AGAHI MD (MEDICAL DIRECTOR)
(310) 657-8237
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, SUITE 865-W, LOS ANGELES, CA 90048-6101
(310) 657-8237
(310) 659-2937
Mailing address
8635 W 3RD ST, SUITE 865-W, LOS ANGELES, CA 90048-6101
(310) 657-8237
(310) 659-2937
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G75832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G758320
—
CA
Enumeration date
06/11/2007
Last updated
09/04/2014
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