Organization
RHEUMATOLOGY ASSOCIATES OF SOUTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR MOLDOVAN M.D. (PRESIDENT)
(661) 505-9901
Entity
Organization
Contact information
Practice address
23206 LYONS AVENUE, SUITE 106, SANTA CLARITA, CA 91321-2671
(661) 505-9901
(661) 505-9902
Mailing address
23206 LYONS AVENUE, SUITE 106, SANTA CLARITA, CA 91321-2671
(661) 505-9901
(661) 505-9902
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC956A
MEDICARE PTAN
CA
Enumeration date
03/19/2012
Last updated
06/05/2013
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