Ehsan Moshfegh MD INC

NPI #1063726164 in Los Angeles, California

Provider Information

NPI Number: 1063726164
Entity Type: Organization
Organization Name: Ehsan Moshfegh MD INC
Primary Specialty: General Practice
Enumeration Date: Jul 30, 2010
Last Updated: Aug 6, 2010

Practice Location

Address: 1115 S ROBERTSON BLVD
City: Los Angeles
State: California
ZIP Code: 90035-1403
Phone: (310) 246-4171

Authorized Official

Name: EHSAN MOSHFEGH, M.D.
Title: MEDICAL DIRECTOR
Phone: (310) 246-4172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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