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Organization
NEW MOON WELLNESS INC.
Active
Organization
NEW MOON WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MADRIZ (CO FOUNDER)
(818) 579-2258
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD STE 400, ENCINO, CA 91436-1925
(818) 579-2258
Mailing address
11054 VENTURA BLVD # 245, STUDIO CITY, CA 91604-3546
(818) 579-2258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669772166
MEDI-CAL
CA
Enumeration date
07/11/2019
Last updated
07/11/2019
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