| Mola Medical Practice Inc | |
|
6439 Deep Dell Pl Los Angeles CA 90068-2845 | |
| (718) 551-5490 | |
| Not Available |
| Full Name | Mola Medical Practice Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6439 Deep Dell Pl, Los Angeles, California |
| Authorized Official Name and Position | Hossein Molazadeh (PRESIDENT) |
| Authorized Official Contact | 7185515490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mola Medical Practice Inc 6439 Deep Dell Pl Los Angeles CA 90068-2845 Ph: (718) 551-5490 | Mola Medical Practice Inc 6439 Deep Dell Pl Los Angeles CA 90068-2845 Ph: (718) 551-5490 |
| NPI Number | 1437763224 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 09/23/2024 |
| Medicare PECOS PAC ID | 4880012129 |
|---|---|
| Medicare Enrollment ID | O20200917002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437763224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| Provider Name | Hossein Molazadeh-yazdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881829661 PECOS PAC ID: 0244382323 Enrollment ID: I20181015002999 |
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