Mso, Inc. of Southern California

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MSO, INC. OF SOUTHERN CALIFORNIA

Practice address

17622 Armstrong Ave
Irvine, CA 92614-5728

Phone

(626) 656-2370

Fax

(866) 627-3093

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lan Phan

Title

Ceo

Phone

(818) 399-8996

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1831973049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17622 ARMSTRONG AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145728",
            "telephone_number": "626-656-2370",
            "fax_number": "866-627-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17622 ARMSTRONG AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145728",
            "telephone_number": "626-656-2370",
            "fax_number": "866-627-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSO, INC. OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-399-8996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Darlene Moy, M.D.
• Harry Michael Moyses, M.D.
• Pantea Mozayeni, MD
• Alexus Mozell
• Hourig Mozian, RD, CDCES
• MSPT Inc
• Mudhar Wellness LLC
• Brittany Susanne Mueller
• Dana D Mueller
• Jan Michele Mueller, M.F.T.

• Public Health or Welfare Agency in Irvine, CA
• Providers in Irvine, CA by specialty
• Public Health or Welfare Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.