| Ben Mousavi Md Medical Corporation | |
|
5776 Lindero Canyon Rd # 400d Westlake Village CA 91362-6428 | |
| (818) 625-7210 | |
| Not Available |
| Full Name | Ben Mousavi Md Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 5776 Lindero Canyon Rd # 400d, Westlake Village, California |
| Authorized Official Name and Position | Ben B Mousavi (OWNER/PROVIDER) |
| Authorized Official Contact | 8186257210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Mousavi Md Medical Corporation 5776 Lindero Canyon Rd # 400d Westlake Village CA 91362-6428 Ph: (818) 625-7210 | Ben Mousavi Md Medical Corporation 5776 Lindero Canyon Rd # 400d Westlake Village CA 91362-6428 Ph: (818) 625-7210 |
| NPI Number | 1356747802 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Medicare PECOS PAC ID | 3072839505 |
|---|---|
| Medicare Enrollment ID | O20150227001675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356747802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A131983 (California) | Primary |
| Provider Name | Ben B Mousavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003230079 PECOS PAC ID: 9032433057 Enrollment ID: I20150122002277 |
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