MEDICARE: HADEAL MOUSTAFA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3266	CA

General Provider Information

NPI Number	:	1083073258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HADEAL MOUSTAFA

Provider Business Mailing Address
First Line	:	17216 SATICOY ST
Second Line	:	141
City	:	VAN NUYS
State	:	CA
Zip	:	91406-2103
Country	:	US
Telephone Number	:	818-497-3012
Fax Number	:

Provider Business Practice Location Address
First Line	:	5775 E LOS ANGELES AVE
Second Line	:	230
City	:	SIMI VALLEY
State	:	CA
Zip	:	93063-5213
Country	:	US
Telephone Number	:	818-497-3012
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2016
Last Update Date	:	02/16/2016

Similar Medicare Providers

1679576607 — EMERALD HOME HEALTH INC
Practice Location Address:

5775 E. LOS ANGELES AVENUE , SUITE 232
SIMI VALLEY, CA
93063-5213

Practice Phone: 805-864-9311
Practice Fax: 805-864-9312

1528519360 — KARYNN SHERANIAN
Practice Location Address:

5775 E LOS ANGELES AVE STE 205
SIMI VALLEY, CA
93063-5213

Practice Phone: 805-214-1488
Practice Fax:

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1033131685 — CVS ALBANY LLC
Practice Location Address:

50 SPRING VALLEY MARKET PL
SPRING VALLEY, NY
10977-5213

Practice Phone: 845-371-5811
Practice Fax: 845-371-5811

1568643617 — MRS. AMY JANE DICKSON RPH
Practice Location Address:

50 SPRING VALLEY MARKETPLACE
SPRING VALLEY, NY
10977-5213

Practice Phone: 845-371-5811
Practice Fax: 845-371-5811

1477737229 — ANN KIERNAN RPH
Practice Location Address:

50 SPRING VALLEY MARKETPLACE , TARGET 1808
SPRING VALLEY, NY
10977-5213

Practice Phone: 845-371-5811
Practice Fax:

Directions to “ HADEAL MOUSTAFA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.