Healthcare Provider Details

I. General information

NPI: 1932050838
Provider Name (Legal Business Name): DR. MAHSA MOUSAEI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7544 GIRARD AVE
LA JOLLA CA
92037-5101
US

IV. Provider business mailing address

33205 TEMECULA PKWY
TEMECULA CA
92592-9142
US

V. Phone/Fax

Practice location:
  • Phone: 858-454-0932
  • Fax:
Mailing address:
  • Phone: 951-303-3164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number91839
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: