Alan, Moonlight
Alan, Moonlight is an sole proprietor health care provider with primary practice located at 3808 W Riverside Dr Ste 407 , Burbank CA 91505-5301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alan, Moonlight can be contacted via phone (213) 218-9245.Contact Information
Primary practice address
3808 W Riverside Dr Ste 407
Burbank CA 91505-5301
Phone: (213) 218-9245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95023700 | California |
Profile Details
| NPI number | 1245937036 |
|---|---|
| LBN Legal business name | Alan, Moonlight |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2023 |
| Last updated | Feb 13th, 2023 - about last year |
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 | 1245937036 | NPPES |
| California | Other | F08220387 | OTHER INSURANCE |
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