Healthcare Provider Details

I. General information

NPI: 1740310689
Provider Name (Legal Business Name): MOUSTAFA E ALAMY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16660 PARAMOUNT BLVD SUITE 312
PARAMOUNT CA
90723-5433
US

IV. Provider business mailing address

16660 PARAMOUNT BLVD SUITE 312
PARAMOUNT CA
90723
US

V. Phone/Fax

Practice location:
  • Phone: 562-529-8821
  • Fax: 562-529-8828
Mailing address:
  • Phone: 562-529-8821
  • Fax: 562-529-8828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA48912
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA48912
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA48912
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberA48912
License Number StateCA

VIII. Authorized Official

Name: MOUSTAFA ALAMY
Title or Position: PRESIDENT
Credential: MD
Phone: 562-529-8821