| Farshid Moossazadeh M D A Professional Corporation | |
|
11633 Hawthorne Blvd Ste 300 Hawthorne CA 90250-2369 | |
| (310) 355-1950 | |
| (310) 355-1957 |
| Full Name | Farshid Moossazadeh M D A Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 11633 Hawthorne Blvd Ste 300, Hawthorne, California |
| Authorized Official Name and Position | Farshid Moossazadeh (PRESIDENT) |
| Authorized Official Contact | 3103551950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farshid Moossazadeh M D A Professional Corporation 11633 Hawthorne Blvd Ste 300 Hawthorne CA 90250-2369 Ph: (310) 355-1950 | Farshid Moossazadeh M D A Professional Corporation 11633 Hawthorne Blvd Ste 300 Hawthorne CA 90250-2369 Ph: (310) 355-1950 |
| NPI Number | 1629685730 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 02/11/2026 |
| Medicare PECOS PAC ID | 3173941994 |
|---|---|
| Medicare Enrollment ID | O20200910002620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629685730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| Provider Name | Farshid Moossazadeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134291032 PECOS PAC ID: 6800109265 Enrollment ID: I20150715000408 |
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