Individual
ANTHONY MORADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 233-0425
Mailing address
10508 SUNLAND BLVD UNIT 4, SUNLAND, CA 91040-1941
(818) 640-7513
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
95217062
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
95217062
CA
363L00000X
Nurse Practitioner
Primary
95023929
CA
363LF0000X
Family Nurse Practitioner
95023929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95023929
—
CA
05
—
95217062
—
CA
Enumeration date
01/30/2023
Last updated
05/31/2023
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