Moghadam, Mehdi Amini

Moghadam, Mehdi Amini is an individual health care provider with primary practice located at 7232 Van Nuys Blvd Suite 201 , Van Nuys CA 91405. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Moghadam, Mehdi Amini can be contacted via phone (818) 373-4999.

Contact Information

Primary practice address
7232 Van Nuys Blvd Suite 201 Van Nuys CA 91405
Phone: (818) 373-4999
Fax: (818) 373-4998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C43315 California

Profile Details

NPI number 1679625222
LBN Legal business name Moghadam, Mehdi Amini
Credentials MID
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679625222 NPPES
California MEDICAID 043315
California Other BM6109739
California Other 021550

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