| Frederic Massoua, | |
|
8401 S Vermont Ave, Los Angeles, CA 90044-3423 | |
| (424) 221-0662 | |
| Not Available |
| Full Name | Frederic Massoua |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 8401 S Vermont Ave, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306365523 | NPI | - | NPPES |
| 163WP08087X | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95451598 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Frederic Massoua, 8401 S Vermont Ave, Los Angeles, CA 90044-3423 Ph: (424) 221-0662 | Frederic Massoua, 8401 S Vermont Ave, Los Angeles, CA 90044-3423 Ph: (424) 221-0662 |
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