Moini, Katayoun

Moini, Katayoun is an individual health care provider with primary practice located at 2040 E Mariposa Ave , El Segundo CA 90245-5027. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Moini, Katayoun can be contacted via phone (213) 266-5600.

Contact Information

Primary practice address
2040 E Mariposa Ave El Segundo CA 90245-5027
Phone: (213) 266-5600
Fax: (213) 477-2344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 813546 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 813546 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA51495 California

Profile Details

NPI number 1770581423
LBN Legal business name Moini, Katayoun
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 21st, 2022 - 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 1770581423 NPPES
California Other PA51495 CA LICENSE

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