| Bakhtiar Moussazadeh, MD | |
|
5620 Wilbur Ave Ste 305, Tarzana, CA 91356-1311 | |
| (818) 578-5326 | |
| (951) 272-9924 |
| Full Name | Bakhtiar Moussazadeh |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 5620 Wilbur Ave Ste 305, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043530660 | NPI | - | NPPES |
| A108651 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | A108651 (California) | Primary |
| Entity Name | La Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790242758 PECOS PAC ID: 2163764093 Enrollment ID: O20190425000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Bakhtiar Moussazadeh, MD Po Box 77790, Corona, CA 92877-0126 Ph: (800) 626-2468 | Bakhtiar Moussazadeh, MD 5620 Wilbur Ave Ste 305, Tarzana, CA 91356-1311 Ph: (818) 578-5326 |
Mr. Nelson E Koe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 310-471-5852 Fax: 310-471-3958 | |
Dr. Komail Saifee, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4121 Aleman Dr, Tarzana, CA 91356 Phone: 818-342-3846 | |
Ms. Deborah A. Heaps, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-708-5285 | |
David Ben Hoenig, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5525 Etiwanda Ave, Suite 217, Tarzana, CA 91356 Phone: 818-344-4100 Fax: 818-344-1043 | |
Ms. Gail S. Goldstein, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 310-471-3958 Fax: 310-471-3958 | |
Maged S. Mikhail, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 18344 Clark Street, Suite #202, Tarzana, CA 91356 Phone: 818-654-0520 Fax: 818-654-0520 |