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DR. MOHSEN TANBAKOOCHI MOGHADDAM M.D.
NPI 1720010234
General Practice in Tarzana, CA

Active since July 07, 2006
19100 VENTURA BLVD STE 16, TARZANA, CA 91356(818) 609-1314(818) 609-0841 Get Directions Write a Review

NPPES record last updated: May 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mohsen Tanbakoochi Moghaddam M.d. NPPES

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

DR. MOHSEN TANBAKOOCHI MOGHADDAM M.D. (NPI 1720010234) is an individual general practice provider in Tarzana, California, licensed in California (A46373) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720010234
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MOHSEN TANBAKOOCHI MOGHADDAMCredential: M.D.
Location Address19100 VENTURA BLVD STE 16Tarzana, CA 91356-3234
Mailing Address19100 Ventura Blvd Ste 16Tarzana, CA 91356-3234 · (818) 609-1314 · Fax (818) 609-0841
Phone(818) 609-1314
Fax(818) 609-0841
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateMay 29, 2009
✔ NPI 1720010234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A46373
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
Also ListedOtolaryngologyTaxonomy 207Y00000X · License A46373 (CA)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License A46373 (CA)
19100 VENTURA BLVD STE 16, Tarzana, CA 91356
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Other Identifiers 3

Medicare ID-Type UnspecifiedA46373CA · Medicare
Medicare UPINE60827CA
Medicaid00A463732CA

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 Mohsen Moghaddam's NPI number?

The NPI number for Mohsen Moghaddam is 1720010234. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mohsen Moghaddam located?

Mohsen Moghaddam practices at 19100 Ventura Blvd Ste 16, Tarzana, CA 91356. The listed phone number is (818) 609-1314.

What is Mohsen Moghaddam'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 Mohsen Moghaddam was last updated on May 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.