# INTER VALLEY WELLNESS AND REGENERATION CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649065384
- **Authorized official:** MAXIM MORADIAN MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (818) 913-9356

## Contact information

- **Practice address:** 317 S BRAND BLVD STE A-105, GLENDALE, CA 91204-1701
- **Practice address phone:** (818) 338-6860
- **Practice address fax:** (888) 425-9079
- **Mailing address:** 317 S BRAND BLVD STE A-105, GLENDALE, CA 91204-1701
- **Mailing address phone:** (818) 338-6860
- **Mailing address fax:** (888) 425-9079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2025
- **Last updated:** 04/14/2025