Individual
DEBORAH DARETANY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG 500 ROOM 2058, LOS ANGELES, CA 90073-1003
(301) 478-3711
(310) 268-4272
Mailing address
11301 WILSHIRE BLVD, BLDG 500 ROOM 2058, LOS ANGELES, CA 90073-1003
(301) 478-3711
(310) 268-4272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A56498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A564980
—
CA
Enumeration date
11/29/2006
Last updated
03/27/2013
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