Moradian, Anthony

Moradian, Anthony is an sole proprietor health care provider with primary practice located at 4211 Avalon Blvd , Los Angeles CA 90011-5622. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Home Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Moradian, Anthony can be contacted via phone (323) 233-0425.

Contact Information

Primary practice address
4211 Avalon Blvd Los Angeles CA 90011-5622
Phone: (323) 233-0425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95217062 California
Nursing Service Providers / Home Health 163WH0200X 95217062 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95023929 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95023929 California

Profile Details

NPI number 1386350775
LBN Legal business name Moradian, Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2023
Last updated May 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386350775 NPPES
California MEDICAID 95023929
California MEDICAID 95217062

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