MOHSEN TANBAKOOCHI MOGHADDAM

TARZANA, CA
NPI1720010234
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: CA  A46373)
Additional Taxonomies207Y00000X Otolaryngology
(Licence: CA  A46373)
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: CA  A46373)
Enumeration Date2006-07-07
Last Update Date2009-05-29
Business Address
Dr. MOHSEN TANBAKOOCHI MOGHADDAM M.D.
19100 VENTURA BLVD STE 16
TARZANA, CA 91356-3234
Phone number: 818-609-1314
Mailing Address
Dr. MOHSEN TANBAKOOCHI MOGHADDAM M.D.
19100 VENTURA BLVD STE 16
TARZANA, CA 91356-3234
Phone number: 818-609-1314