Ehsan Moshfegh Md Inc

NPI 1063726164 - General Practice - 208D00000X

NPI Details
NPI 1063726164
Enumeration Date 07/30/2010
Last Updated 08/06/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name EHSAN EHSAN
Position MEDICAL DIRECTOR
Phone (310) 246-4171
Fax
Practice Location
1115 S ROBERTSON BLVD
LOS ANGELES CA, 90035-1403, US
Phone (310) 246-4171
Fax
Business Location
10701 WILSHIRE BLVD
SUITE # 1103
LOS ANGELES CA, 90024-4401, US
Phone (310) 246-4172
Fax
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number A42194
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According to our database, Ehsan Moshfegh Md Inc NPI is 1063726164, taxonomy code is 208D00000X and license number is A42194, license state is located at California. Ehsan Moshfegh Md Inc physically located at 1115 S Robertson Blvd, Los Angeles CA, 90035-1403. NPI Number 1033115704 has the healthcare provider type.

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1063726164 NPI number is provided on an as is basis without warranty of any kind. 1063726164 is maintained by the National Plan & Provider Enumeration System. The contents of Ehsan Moshfegh Md Inc are for informational purposes only.