| Moaddel Medical Corporation | |
|
7230 Medical Center Dr Ste 100 West Hills CA 91307-4001 | |
| (818) 697-4488 | |
| Not Available |
| Full Name | Moaddel Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 7230 Medical Center Dr Ste 100, West Hills, California |
| Authorized Official Name and Position | David Moaddel (OWNER) |
| Authorized Official Contact | 3106668001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moaddel Medical Corporation 7230 Medical Center Dr Ste 100 West Hills CA 91307-4001 Ph: () - | Moaddel Medical Corporation 7230 Medical Center Dr Ste 100 West Hills CA 91307-4001 Ph: (818) 697-4488 |
| NPI Number | 1780371799 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 08/16/2023 |
| Medicare PECOS PAC ID | 9032579081 |
|---|---|
| Medicare Enrollment ID | O20230721002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780371799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Moaddel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376808626 PECOS PAC ID: 5799072294 Enrollment ID: I20210928003391 |
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