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EHSAN MOSHFEGH MD INC
NPI 1063726164
General Practice in Los Angeles, CA

Active since July 30, 2010
1115 S ROBERTSON BLVD, LOS ANGELES, CA 90035(310) 246-4171 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ehsan Moshfegh Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EHSAN MOSHFEGH MD INC (NPI 1063726164) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since July 2010. The organization lists Ehsan Moshfegh, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063726164
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEHSAN MOSHFEGH MD INC
Location Address1115 S ROBERTSON BLVDLos Angeles, CA 90035-1403
Mailing Address10701 Wilshire Blvd, Suite # 1103Los Angeles, CA 90024-4401 · (310) 246-4172
Phone(310) 246-4171
Organization SubpartNo
Authorized OfficialEhsan MoshfeghMedical Director · (310) 246-4172
Enumeration DateJuly 30, 2010
Last NPPES UpdateAugust 6, 2010
✔ NPI 1063726164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A42194
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1115 S ROBERTSON BLVD, Los Angeles, CA 90035
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Other Identifiers 3

Medicare PINA42194CA
Medicare UPINF15635CA
Medicaid00A421940CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEHRDAD PAKDAMAN MD INC
Clinic/Center
1115 S ROBERTSON BLVD
LOS ANGELES, CA 90035
Los Angeles County (310) 659-9999
MEHRDAD PAKDAMAN MD
Family Medicine
1115 S ROBERTSON BLVD
LOS ANGELES, CA 90035
Los Angeles County (310) 659-9999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ehsan Moshfegh MD Inc's NPI number?

The NPI number for Ehsan Moshfegh MD Inc is 1063726164. It was assigned to this organization in the NPPES registry on July 30, 2010.

Where is Ehsan Moshfegh MD Inc located?

Ehsan Moshfegh MD Inc is located at 1115 S Robertson Blvd, Los Angeles, CA 90035. The listed phone number is (310) 246-4171.

What is Ehsan Moshfegh MD Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ehsan Moshfegh MD Inc was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.