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General NPI Number Information
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NPI Number | 1174432157
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Entity Type | Organization
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Legal Business Name | ROBERT B. MOGHIMI MD INC.
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 1156 SWALLOW LN
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3154
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Country | US
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Telephone | 805-526-6016
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Fax | 805-791-3992
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Provider Business Mailing Address
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Address Line | 4228 AGNES AVE
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City | STUDIO CITY
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State | CA
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Zip | 91604-2019
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Country | US
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Telephone | 805-526-6016
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Fax | 805-791-3992
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. ROBERT B MOGHIMI
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Credential | MD
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Telephone | 818-517-8279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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