Moghaddam, Mohsen Tanbakoochi
Moghaddam, Mohsen Tanbakoochi is an individual health care provider with primary practice located at 19100 Ventura Blvd Ste 16 , Tarzana CA 91356-3234. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Moghaddam, Mohsen Tanbakoochi can be contacted via phone (818) 609-1314.Contact Information
Primary practice address
19100 Ventura Blvd Ste 16
Tarzana CA 91356-3234
Phone: (818) 609-1314
Fax: (818) 609-0841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A46373 | California |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | A46373 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | A46373 | California |
Profile Details
| NPI number | 1720010234 |
|---|---|
| LBN Legal business name | Moghaddam, Mohsen Tanbakoochi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | May 29th, 2009 - about 16 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 | 1720010234 | NPPES |
| California | MEDICAID | 00A463732 |
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