Individual
BOBBY MASSOUDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1737
(562) 933-2000
(818) 587-2493
Mailing address
PO BOX 1490, LONG BEACH, CA 90801-1490
(888) 237-1803
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A80797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A807970
BLUE SHIELD
CA
05
—
00A807970
—
CA
01
—
P00239433
RAILROAD MEDICARE
CA
Enumeration date
06/06/2006
Last updated
11/23/2016
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