Moussavian-Assadi, Mina

Moussavian-Assadi, Mina is an individual health care provider with primary practice located at 5525 Etiwanda Ave #212, Tarzana CA 91356-3647. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moussavian-Assadi, Mina can be contacted via phone (818) 721-2400.

Contact Information

Primary practice address
5525 Etiwanda Ave #212 Tarzana CA 91356-3647
Phone: (818) 721-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 216492 Massachusetts

Profile Details

NPI number 1609863091
LBN Legal business name Moussavian-Assadi, Mina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Aug 2nd, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609863091 NPPES
Massachusetts MEDICAID 2001110

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