Individual
MINOO MOGHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
452 DENSLOW AVE, LOS ANGELES, CA 90049-3507
(310) 254-5107
Mailing address
452 DENSLOW AVE, LOS ANGELES, CA 90049-3507
(310) 254-5107
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
1924
CA
Other
Enumeration date
07/19/2020
Last updated
07/19/2020
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