# MOAMEN ELHADDAD, D.P.M., INC. A PODIATRIC MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396640298
- **Authorized official:** DR. MOAMEN ELHADDAD DPM, MBBCH (PRESIDENT)
- **Authorized official phone:** (206) 861-3306

## Contact information

- **Practice address:** 1010 W LA VETA AVE STE 475, ORANGE, CA 92868-4300
- **Practice address phone:** (206) 861-3306
- **Mailing address:** 324 S BEVERLY DR STE 278, BEVERLY HILLS, CA 90212-4822
- **Mailing address phone:** (206) 861-3306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2026
- **Last updated:** 10/12/2026