Individual
MIGUEL A MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
(323) 255-2745
Mailing address
5540 N FIGUEROA ST, LOS ANGELES, CA 90042-4120
(323) 478-1101
(323) 255-2745
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA11298
—
CA
Enumeration date
10/19/2006
Last updated
02/15/2008
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