Restoring Health Medical Institute, Inc. | |
11540 Santa Monica Blvd Suite 204 Los Angeles CA 90025 | |
(888) 774-3254 | |
Not Available |
Full Name | Restoring Health Medical Institute, Inc. |
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Speciality | Clinic/Center |
Location | 11540 Santa Monica Blvd Suite 204, Los Angeles, California |
Authorized Official Name and Position | David Moossazadeh (DOCTOR) |
Authorized Official Contact | 8887743254 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Restoring Health Medical Institute, Inc. 11540 Santa Monica Blvd Suite 204 Los Angeles CA 90025 Ph: (888) 774-3254 | Restoring Health Medical Institute, Inc. 11540 Santa Monica Blvd Suite 204 Los Angeles CA 90025 Ph: (888) 774-3254 |
NPI Number | 1710435144 |
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Provider Enumeration Date | 09/14/2016 |
Last Update Date | 09/14/2016 |
Medicare PECOS PAC ID | 3274821707 |
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Medicare Enrollment ID | O20161014001877 |
Identifier | Type | State | Issuer |
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1710435144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 20A11456 (California) | Primary |
Provider Name | David Moossazadeh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942430806 PECOS PAC ID: 1951556398 Enrollment ID: I20130308000502 |
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