Shamonki, Issa Mousa

Shamonki, Issa Mousa is an individual health care provider with primary practice located at 2001 Santa Monica Blvd Suite 770 W, Santa Monica CA 90404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Shamonki, Issa Mousa can be contacted via phone (310) 829-4781.

Contact Information

Primary practice address
2001 Santa Monica Blvd Suite 770 W Santa Monica CA 90404
Phone: (310) 829-4781
Fax: (310) 828-3874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A030208 California

Profile Details

NPI number 1275679375
LBN Legal business name Shamonki, Issa Mousa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 9th, 2007 - about 19 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 1275679375 NPPES
California MEDICAID 4456616

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