Individual
DENZEL MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
831 S LAKE ST, LOS ANGELES, CA 90057-4013
(213) 380-9175
Mailing address
6128 CIMARRON ST, LOS ANGELES, CA 90047-1323
(323) 620-1731
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6358
CA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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