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Individual

RYAN MOGHADAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
22968 VICTORY BLVD, WOODLAND HILLS, CA 91367-1634
(818) 887-7350
Mailing address
22968 VICTORY BLVD, WOODLAND HILLS, CA 91367-1634

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
77551
CA

Other

Enumeration date
10/01/2017
Last updated
10/01/2017
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