Organization
HASSAN ALI MOINZADEH, INC.
Active
Organization
HASSAN ALI MOINZADEH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASSAN ALI MOINZADEH M.D., PH.D (PRESIDENT)
(562) 310-3160
Entity
Organization
Contact information
Practice address
2880 ATLANTIC AVE, SUITE 260, LONG BEACH, CA 90806-1714
(562) 310-3160
Mailing address
2880 ATLANTIC AVE, SUITE 260, LONG BEACH, CA 90806-1714
(562) 310-3160
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G79242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ976
MEDICARE PTAN
CA
Enumeration date
10/14/2008
Last updated
05/05/2009
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