Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | C132277 | CA |
NPI | 1558569830 |
---|---|
Provider Name | Mehdi Moslemi-Kebria |
First Address | Los Angeles, CA 90051-0185 |
Second Address | Upland, CA 91786-4952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2007 |
Last Update Date | 18/11/2020 |