Mahmoudi, Massoud
Mahmoudi, Massoud is an sole proprietor health care provider with primary practice located at 812 Pollard Rd Suite 5, Los Gatos CA 95032-1420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Mahmoudi, Massoud can be contacted via phone (408) 866-6885.Contact Information
Primary practice address
812 Pollard Rd Suite 5
Los Gatos CA 95032-1420
Phone: (408) 866-6885
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 20A7157 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A7157 | California |
Profile Details
| NPI number | 1255402640 |
|---|---|
| LBN Legal business name | Mahmoudi, Massoud |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jan 19th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255402640 | NPPES |
| California | MEDICAID | 0020A71570 |
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