Individual
FATIMA ZAHRA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15910 VENTURA BLVD STE 1510, ENCINO, CA 91436-2827
(310) 278-9171
Mailing address
15910 VENTURA BLVD STE 1510, ENCINO, CA 91436-2827
(469) 835-8560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/15/2020
Last updated
01/27/2026
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