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Individual

DR. FARZIN A MOUSAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6200 WILSHIRE BLVD STE 909, LOS ANGELES, CA 90048-5810
(310) 714-2770
Mailing address
6200 WILSHIRE BLVD STE 909, LOS ANGELES, CA 90048-5810
(310) 714-2770

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34169
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12509
PACIFIC UNION
01
126501
DELTA CARE PMI
01
24874
AETNA DMO
01
957127
UNITED CONCORDIA
01
B34169
MEDI CAL
Enumeration date
11/02/2005
Last updated
11/17/2015
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