Mousavi, Shahryar
Mousavi, Shahryar is an sole proprietor health care provider with primary practice located at 24953 Paseo De Valencia #3A, Laguna Hills CA 92653-4342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Mousavi, Shahryar can be contacted via phone (949) 297-3838.Contact Information
Primary practice address
24953 Paseo De Valencia #3A
Laguna Hills CA 92653-4342
Phone: (949) 297-3838
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A128033 | California |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A128033 | California |
Profile Details
| NPI number | 1023263282 |
|---|---|
| LBN Legal business name | Mousavi, Shahryar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2008 |
| Last updated | Jul 23rd, 2015 - about 9 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 | 1023263282 | NPPES |
| California | Other | CB235450 | MEDICARE PTAN |
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