Organization
MOUSSAVI & TOVANYAN MEDICAL GROUP
Active
Other names
SC Medical & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMYAR MOUSSAVI DPM (CEO)
(818) 980-1221
Entity
Organization
Contact information
Practice address
11650 RIVERSIDE DR STE 5, N HOLLYWOOD, CA 91602-1066
(818) 980-1221
(818) 980-3221
Mailing address
11650 RIVERSIDE DR STE 5, N HOLLYWOOD, CA 91602-1066
(818) 980-1221
(818) 980-3221
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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