Individual
DR. AMIR MOLDOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23206 LYONS AVENUE, SUITE 106, SANTA CLARITA, CA 92321-2671
(661) 505-9901
(661) 505-9902
Mailing address
23206 LYONS AVENUE, SUITE 106, SANTA CLARITA, CA 92321-2671
(661) 505-9901
(661) 505-9902
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A104056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC959Z
MEDICARE PTAN
CA
Enumeration date
06/11/2006
Last updated
02/12/2020
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