MEDICARE: MR. OJEN MASROUR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	A95253	CA

General Provider Information

NPI Number	:	1740249762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. OJEN MASROUR M.D.

Provider Business Mailing Address
First Line	:	23115 SHERMAN PL
Second Line	:	STE 210
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2006
Country	:	US
Telephone Number	:	818-702-9962
Fax Number	:	818-538-8858

Provider Business Practice Location Address
First Line	:	23115 SHERMAN PL
Second Line	:	STE 210
City	:	WEST HILLS
State	:	CA
Zip	:	91307-2006
Country	:	US
Telephone Number	:	818-702-9962
Fax Number	:	818-538-8858

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	07/21/2022

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