Ehsan Moshfegh MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A42194 Issued in CA

Legal business name

EHSAN MOSHFEGH MD INC

Practice address

1115 S Robertson Blvd
Los Angeles, CA 90035-1403

Phone

(310) 246-4171

NPI assigned

Jul 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ehsan Moshfegh, M.D.

Title

Medical Director

Phone

(310) 246-4172

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281052800000",
    "number": "1063726164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 WILSHIRE BLVD",
            "address_2": "SUITE # 1103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244401",
            "telephone_number": "310-246-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403",
            "telephone_number": "310-246-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHSAN MOSHFEGH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-08-06",
        "status": "A",
        "authorized_official_last_name": "MOSHFEGH",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-246-4172",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A42194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A421940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ken Gee Ehrlich, DC
• Maria Ehrlich
• Richard M. Ehrlich, MD, FACS, FAAP
• Theodore Daniel Ehrlich, M.D.
• Ehsan Bashi a Professional Physical Therapy Corporation PC
• Ehsan Saadat MD Inc
• Azin Isabelle Ehsan-Sayson, MSW, LCSW
• Amirhesam Ehsan, M.D
• Emily Ehsan, MD
• Reza Ray Ehsan, M.D.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.