Moradian, Martin
Moradian, Martin is an individual health care provider with primary practice located at 1500 S Central Ave Ste 101, Glendale CA 91204-2563. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Moradian, Martin can be contacted via phone (818) 243-0400.Contact Information
Primary practice address
1500 S Central Ave Ste 101
Glendale CA 91204-2563
Phone: (818) 243-0400
Fax: (818) 507-9902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4513A | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E4513 | California |
Profile Details
| NPI number | 1780631523 |
|---|---|
| LBN Legal business name | Moradian, Martin |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jun 15th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780631523 | NPPES |
| California | MEDICAID | 000E45130 |
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