Healthcare Provider Details
I. General information
NPI: 1942191796
Provider Name (Legal Business Name): AMEER F MOUSSA MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24953 PASEO DE VALENCIA STE 14C
LAGUNA HILLS CA
92653-4344
US
IV. Provider business mailing address
24953 PASEO DE VALENCIA STE 14C
LAGUNA HILLS CA
92653-4344
US
V. Phone/Fax
- Phone: 949-342-4511
- Fax: 949-281-1416
- Phone: 949-342-4511
- Fax: 949-281-1416
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RS0012X |
| Taxonomy | Sleep Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMEER
F
MOUSSA
Title or Position: OWNER AND PHYSICIAN
Credential: MD
Phone: 949-342-4511