Mousavi, Farzin A
Mousavi, Farzin A is an sole proprietor health care provider with primary practice located at 6200 Wilshire Blvd Ste 909 , Los Angeles CA 90048-5810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mousavi, Farzin A can be contacted via phone (310) 714-2770.Contact Information
Primary practice address
6200 Wilshire Blvd Ste 909
Los Angeles CA 90048-5810
Phone: (310) 714-2770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 34169 | California |
Profile Details
| NPI number | 1831180314 |
|---|---|
| LBN Legal business name | Mousavi, Farzin A |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 17th, 2015 - about 11 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 | 1831180314 | NPPES |
| Other | 24874 | AETNA DMO | |
| Other | 957127 | AETNA DMO | |
| Other | 126501 | AETNA DMO | |
| Other | 12509 | AETNA DMO | |
| Other | B34169 | AETNA DMO |
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