Individual
LARISSA MOZES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23201 MILL CREEK DR STE 221, LAGUNA HILLS, CA 92653-7906
(818) 350-3264
Mailing address
18756 ERWIN ST, TARZANA, CA 91335-6825
(818) 350-3264
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
111343
CA
Other
Enumeration date
01/29/2016
Last updated
11/08/2024
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