Organization
MOUSSA FAMININI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOUSSA FAMININI M.D. (OWNER)
(818) 501-3414
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 818, ENCINO, CA 91436-1999
(818) 501-3320
(818) 501-3414
Mailing address
16661 VENTURA BLVD STE 818, ENCINO, CA 91436-1999
(818) 501-3320
(818) 501-3414
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A031134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A3111340
—
CA
01
—
05D0726162
CLIA
CA
Enumeration date
09/25/2010
Last updated
03/18/2011
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