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Contact Information

A S MOOSA MD A MEDICAL CORPORATION
3630 E IMPERIAL HWY
LYNWOOD, CA90262-2609
 Phone: 310-900-2005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for A S MOOSA MD A MEDICAL CORPORATION

NPI # 1659577369
LBN Legal business name A S MOOSA MD A MEDICAL CORPORATION
Authorized official AMOD MOOSA - (OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2007
Last updated 08/27/2010 - About 16 years ago
Identifiers
CA License # A246830
CA Medicaid GR0062660
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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