Individual ProviderAysha MushtaqPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062(323) 361-3849(803) 338-8424PECOS EnrollmentBased on the most recent information from CMS, provider Aysha Mushtaq does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1669092532Provider TypeIndividualFull NameMushtaq, AyshaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/21/2020Last Updated7/9/2024Contact InformationPractice LocationPractice Address4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062Phone(323) 361-3849FaxUnlisted FaxMailing LocationMailing Address1831 Purdue Ave Apt 207, West Los Angeles, CA 90025-7065Phone(803) 338-8424FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA194971CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia