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1043444029
OMID MODARRES MOUSAVI BEHBAHANI
DOWNEY, CA
NPI
1043444029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QG0300X Family Medicine Geriatric Medicine
(Licence: CA A121076)
Enumeration Date
2009-05-06
Last Update Date
2015-09-25
Business Address
OMID MODARRES MOUSAVI BEHBAHANI M.D.
12130 PARAMOUNT BLVD
DOWNEY, CA 90242-2339
Phone number: 323-889-7830
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Mailing Address
OMID MODARRES MOUSAVI BEHBAHANI M.D.
11677 GOSHEN AVE
LOS ANGELES, CA 90049-6252
Phone number:
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