Organization · NPI-2
A S Moosa MD A Medical Corporation
Pediatrics, Neonatal-Perinatal Medicine · Lynwood, CA
NPI number1659577369
StatusActive
Last updated in NPPESAug 27, 2010
Details
- NPI
- 1659577369
- Entity type
- Organization (NPI-2)
- Legal business name
- A S Moosa MD A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Jun 21, 2007
- Last updated
- Aug 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | A246830 | CA | Yes |
Practice location
3630 E Imperial HwyLynwood, CA 90262-2609
Phone 310-900-2005
Mailing address
Po Box 303Surfside, CA 90743-0303
Phone 714-375-6280
Authorized official
Amod Moosa
Officer
7143756280
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