institution
Ehsan Moshfegh Md Inc
General Practice Physician in Los Angeles, California
NPI 1063726164

Ehsan Moshfegh Md Inc is a General Practice Physician based in Los Angeles, CA. Ehsan Moshfegh Md Inc practices in Los Angeles, CA. The NPI Number for Ehsan Moshfegh Md Inc is 1063726164 and holds a License No. A42194 (California).

The current practice location address for Ehsan Moshfegh Md Inc is 1115 S Robertson Blvd, Los Angeles, CA and can be reached out via phone at 310-246-4171.

Location: 1115 S Robertson Blvd, Los Angeles, CA, 90024-4401
institution
Provider Profile Details
NPI Number
1063726164
Provider Name
Ehsan Moshfegh Md Inc
Credential
Provider Entity Type
Organization
Address
1115 S Robertson Blvd, Los Angeles, CA, 90024-4401
Phone Number
310-246-4171
Fax Number
Provider Enumeration Date
07/30/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A421940 05 CA
institution
Provider Business Practice Location Address Details
Address
1115 S Robertson Blvd
City
State
Zip
90035-1403
Phone Number
310-246-4171
Fax Number
person
Provider Business Mailing Address Details
Address
1115 S Robertson Blvd
City
State
Zip
90035-1403
Phone Number
310-246-4171
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A42194 (California)
Definition
Definition to come...
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