Healthcare Provider Details

I. General information

NPI: 1942436225
Provider Name (Legal Business Name): AMEER F. MOUSSA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2009
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17122 BEACH BLVD STE 102
HUNTINGTON BEACH CA
92647-5992
US

IV. Provider business mailing address

17122 BEACH BLVD STE 102
HUNTINGTON BEACH CA
92647-5992
US

V. Phone/Fax

Practice location:
  • Phone: 714-847-6545
  • Fax: 714-847-6547
Mailing address:
  • Phone: 714-847-6545
  • Fax: 714-847-6547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA114768
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA114768
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA114768
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: