| Mojgan Makhsoosi, M.d. Inc. | |
|
2750 Sycamore Dr Suite 209 Simi Valley CA 93065-1502 | |
| (805) 915-0315 | |
| (805) 915-0317 |
| Full Name | Mojgan Makhsoosi, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2750 Sycamore Dr, Simi Valley, California |
| Authorized Official Name and Position | Mojgan Makhsoosi (PRESIDENT) |
| Authorized Official Contact | 8059150315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mojgan Makhsoosi, M.d. Inc. Po Box 6604 Thousand Oaks CA 91359-6604 Ph: () - | Mojgan Makhsoosi, M.d. Inc. 2750 Sycamore Dr Suite 209 Simi Valley CA 93065-1502 Ph: (805) 915-0315 |
| NPI Number | 1841354073 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 08/31/2011 |
| Medicare PECOS PAC ID | 9638179229 |
|---|---|
| Medicare Enrollment ID | O20070104000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841354073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70736 (California) | Primary |
| Provider Name | Mojgan Makhsoosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346218658 PECOS PAC ID: 1557361144 Enrollment ID: I20070104000361 |
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