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Contact Information

BACCHUS, MOGHADDAM, MUSNGI, SHWAYDER MEDICAL CORP.
6801 PARK TER # 530B
LOS ANGELES, CA90045-1543
 Phone: 424-376-3444
 Fax: 424-298-4156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for BACCHUS MOGHADDAM MUSNGI SHWAYDER MEDICAL CORP · (Female)

NPI Number 1174081327
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2019
Last updated 07/29/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Other G74246 MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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