Individual
DR. MARTIN MORADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1500 S CENTRAL AVE, STE 101, GLENDALE, CA 91204-2563
(818) 243-0400
(818) 507-9902
Mailing address
1500 S CENTRAL AVE, STE 101, GLENDALE, CA 91204-2563
(818) 243-0400
(818) 507-9902
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4513A
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E45130
—
CA
Enumeration date
05/27/2006
Last updated
06/15/2016
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