Individual
CARLOS FRANCISCO MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
(323) 948-0444
Mailing address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225400000X
REHABILITATION PRACTITION
CA
Enumeration date
03/14/2007
Last updated
02/19/2010
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