Dr Mohsen Tanbakoochi Moghaddam, MD is a
General Practice physician based in Tarzana, California. Dr Mohsen Tanbakoochi Moghaddam is licensed to practice in California (license number A46373) and his current practice location is 19100 Ventura Blvd Ste 16, Tarzana, California. He can be reached at his office (for appointments etc.) via phone at
(818) 609-1314.
NPI number for Dr Mohsen Tanbakoochi Moghaddam is 1720010234 and his current mailing address is 19100 Ventura Blvd Ste 16, Tarzana, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720010234.
Physician's Profile
| Full Name | Dr Mohsen Tanbakoochi Moghaddam |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 19100 Ventura Blvd Ste 16, Tarzana, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720010234
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 05/29/2009
Medical Identifiers
Medical identifiers for Dr Mohsen Tanbakoochi Moghaddam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720010234 | NPI | - | NPPES |
| 00A463732 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | A46373 (California) | Primary |
| 207Y00000X | Otolaryngology | A46373 (California) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | A46373 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mohsen Tanbakoochi Moghaddam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mohsen Tanbakoochi Moghaddam, MD
19100 Ventura Blvd Ste 16,
Tarzana, CA 91356-3234
Ph: (818) 609-1314 | Dr Mohsen Tanbakoochi Moghaddam, MD
19100 Ventura Blvd Ste 16,
Tarzana, CA 91356-3234
Ph: (818) 609-1314 |
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