| Moiez Khankhanian, M.d. Inc | |
|
933 S Sunset Ave Ste 105 West Covina CA 91790-3410 | |
| (162) 681-3122 | |
| (626) 813-1221 |
| Full Name | Moiez Khankhanian, M.d. Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 933 S Sunset Ave Ste 105, West Covina, California |
| Authorized Official Name and Position | Moiez Khankhanian (PRESIDENT) |
| Authorized Official Contact | 6268131222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moiez Khankhanian, M.d. Inc 933 S Sunset Ave Ste 105 West Covina CA 91790-3410 Ph: (626) 813-1222 | Moiez Khankhanian, M.d. Inc 933 S Sunset Ave Ste 105 West Covina CA 91790-3410 Ph: (162) 681-3122 |
| NPI Number | 1407157373 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 8022205996 |
|---|---|
| Medicare Enrollment ID | O20101206000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407157373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Moeiz Khankhanian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255478715 PECOS PAC ID: 5092774265 Enrollment ID: I20041005000526 |
| Provider Name | Behnam Partovi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306851076 PECOS PAC ID: 9335146943 Enrollment ID: I20061024000430 |
| Provider Name | Ajmal Mohammad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700017712 PECOS PAC ID: 2365570504 Enrollment ID: I20100510000669 |
| Provider Name | Osamamwode S Ogbeiwi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609047166 PECOS PAC ID: 5496919920 Enrollment ID: I20120614000107 |
| Provider Name | Adaobi J Ozoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346373172 PECOS PAC ID: 4587986344 Enrollment ID: I20141205000022 |
| Provider Name | Fun Wing Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972205144 PECOS PAC ID: 6800259318 Enrollment ID: I20230831001934 |
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