Individual
DAVID MOOSSAZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11540 SANTA MONICA BLVD SUITE 204, LOS ANGELES, CA 90025
(888) 774-3254
Mailing address
11540 SANTA MONICA BLVD SUITE 204, LOS ANGELES, CA 90025
(888) 774-3254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A11456
CA
Other
Enumeration date
07/24/2009
Last updated
09/23/2016
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