Shams Al-sadat Mousavilar, MD | |
1840 N Hacienda Blvd Ste 4, La Puente, CA 91744-1143 | |
(626) 727-2150 | |
(626) 727-2105 |
Full Name | Shams Al-sadat Mousavilar |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1840 N Hacienda Blvd Ste 4, La Puente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568400505 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A91709 (California) | Primary |
Entity Name | Healthcare Partners Affiliates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258 |
Mailing Address | Practice Location Address |
---|---|
Shams Al-sadat Mousavilar, MD 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744-1143 Ph: (626) 727-2150 | Shams Al-sadat Mousavilar, MD 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744-1143 Ph: (626) 727-2150 |
Raquel M Ynchausti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1840 N Hacienda Blvd Ste 4, La Puente, CA 91744 Phone: 626-850-5056 Fax: 626-850-5059 | |
Dr. Willy Murtidjaja, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1175 N Unruh Ave, La Puente, CA 91744 Phone: 626-918-8210 | |
Juliana Uzoma Ojukwu, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15913 Amar Rd, La Puente, CA 91744 Phone: 909-260-9718 |