MAHTAB MOSHTAGH SISAN

PORTER RANCH, CA
NPI1982197901
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RS0012X Internal Medicine, Sleep Medicine
(Licence: CA  A173400)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CA  A173400)
Enumeration Date2018-06-13
Last Update Date2022-12-01
Business Address
MAHTAB MOSHTAGH SISAN MD
19950 RINALDI ST STE 300
PORTER RANCH, CA 91326-4141
Phone number: 818-271-2400
Mailing Address
MAHTAB MOSHTAGH SISAN MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-301-8707