Individual
DR. MAXIM MORADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S CENTRAL AVE STE 301, GLENDALE, CA 91204-4388
(818) 338-6860
(888) 425-9079
Mailing address
2627 E WASHINGTON BLVD, PASADENA, CA 91107-1412
(626) 797-2002
(626) 798-0567
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD202793
LA
208100000X
Physical Medicine & Rehabilitation Physician
MD442485
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
A118692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006289
—
LA
Enumeration date
02/29/2008
Last updated
04/13/2021
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