Moaddelly, Mitra
Moaddelly, Mitra is an individual health care provider with primary practice located at 17717 Martha St , Encino CA 91316-1145. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Moaddelly, Mitra can be contacted via phone (818) 881-4757.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH50285 | California |
Profile Details
| NPI number | 1922110360 |
|---|---|
| LBN Legal business name | Moaddelly, Mitra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1922110360 | NPPES |
| California | Other | RPH50285 | CA LICENSE |
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