| Wasim Mouazzen M.d., Inc. | |
|
415 W Route 66 Ste 101 Glendora CA 91740-4335 | |
| (626) 327-2763 | |
| Not Available |
| Full Name | Wasim Mouazzen M.d., Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 415 W Route 66 Ste 101, Glendora, California |
| Authorized Official Name and Position | Wasim Mouazzen (PRESIDENT) |
| Authorized Official Contact | 6263272763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasim Mouazzen M.d., Inc. 1239 Foxglove Ct Glendora CA 91741-6605 Ph: (626) 327-2763 | Wasim Mouazzen M.d., Inc. 415 W Route 66 Ste 101 Glendora CA 91740-4335 Ph: (626) 327-2763 |
| NPI Number | 1699507160 |
|---|---|
| Provider Enumeration Date | 08/14/2024 |
| Last Update Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699507160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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