Faminini, Moussa

Faminini, Moussa is an individual health care provider with primary practice located at 16661 Ventura Blvd # 818, Encino CA 91436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Faminini, Moussa can be contacted via phone (818) 501-3320.

Contact Information

Primary practice address
16661 Ventura Blvd # 818 Encino CA 91436
Phone: (818) 501-3320
Fax: (818) 501-3414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A031134 California

Profile Details

NPI number 1629084843
LBN Legal business name Faminini, Moussa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
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 1629084843 NPPES
California Other A31134 BLUE CROSS
California Other 00A311340 BLUE CROSS
California MEDICAID 00A311340 BLUE CROSS

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