Organization Active NPI

Hassan Ali Moinzadeh, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Long Beach, CA
National Provider Identifier
1952553596
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G79242 Issued in CA
Legal business name
HASSAN ALI MOINZADEH, INC.
Practice address
2880 Atlantic Ave
Suite 260
Long Beach, CA 90806-1714
Phone
(562) 310-3160
NPI assigned
Oct 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Hassan Ali Moinzadeh, M.D., PH.D
Title
President
Phone
(562) 310-3160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X G79242 CA Primary

Addresses

Primary practice location

2880 Atlantic Ave
Suite 260
Long Beach, CA 90806-1714

Mailing address

2880 Atlantic Ave
Suite 260
Long Beach, CA 90806-1714
Phone (562) 310-3160

Other identifiers 1

IdentifierTypeStateIssuer
AZ976OtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1952553596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE",
            "address_2": "SUITE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061714",
            "telephone_number": "562-310-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 ATLANTIC AVE",
            "address_2": "SUITE 260",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061714",
            "telephone_number": "562-310-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASSAN ALI MOINZADEH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "MOINZADEH",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-310-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G79242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AZ976",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.