Moshtagh Sisan, Mahtab
Moshtagh Sisan, Mahtab is an individual health care provider with primary practice located at 19950 Rinaldi St Ste 300 , Porter Ranch CA 91326-4141. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Moshtagh Sisan, Mahtab can be contacted via phone (818) 271-2400.Contact Information
Primary practice address
19950 Rinaldi St Ste 300
Porter Ranch CA 91326-4141
Phone: (818) 271-2400
Fax: (818) 271-2401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A173400 | California |
Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | A173400 | California |
Profile Details
NPI number | 1982197901 |
---|---|
LBN Legal business name | Moshtagh Sisan, Mahtab |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 13th, 2018 |
Last updated | Dec 1st, 2022 - about 2 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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