Individual
DREW MOGHANAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ # B265, LOS ANGELES, CA 90095-5051
(310) 825-9775
(310) 794-9795
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5138
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101243108
VA
2085R0001X
Radiation Oncology Physician
081672
GA
2085R0001X
Radiation Oncology Physician
Primary
C1171699
CA
2085R0001X
Radiation Oncology Physician
MD425082
PA
2085R0001X
Radiation Oncology Physician
MT181847
PA
Other
Enumeration date
12/28/2006
Last updated
05/28/2021
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