Massoud Amini M.d. Inc. | |
7143 Seville Ave Huntington Park CA 90255-4905 | |
(323) 587-0145 | |
(323) 587-6591 |
Full Name | Massoud Amini M.d. Inc. |
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Speciality | Family Medicine |
Location | 7143 Seville Ave, Huntington Park, California |
Authorized Official Name and Position | Massoud Amini (MEDICAL DIRECTOR) |
Authorized Official Contact | 3235870145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Massoud Amini M.d. Inc. Po Box 126 Huntington Park CA 90255-0126 Ph: (323) 587-0145 | Massoud Amini M.d. Inc. 7143 Seville Ave Huntington Park CA 90255-4905 Ph: (323) 587-0145 |
NPI Number | 1609930858 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 03/22/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609930858 | NPI | - | NPPES |
GR0082600 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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