Organization
N. NICOLE MOAYERI, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
N NICOLE MOAYERI MD (CEO)
(805) 770-9186
Entity
Organization
Contact information
Practice address
2410 FLETCHER AVE FL 3, SANTA BARBARA, CA 93105-4876
(805) 770-9186
(805) 261-5345
Mailing address
2410 FLETCHER AVE FL 3, SANTA BARBARA, CA 93105-4876
(805) 682-1912
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G697610
—
CA
01
—
G27180
MEDICARE UPIN
CA
Enumeration date
02/04/2022
Last updated
03/10/2023
Update your record
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