Moradian, Maxim
Moradian, Maxim is an sole proprietor health care provider with primary practice located at 800 S Central Ave Ste 301 , Glendale CA 91204-4388. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Moradian, Maxim can be contacted via phone (818) 338-6860.Contact Information
Primary practice address
800 S Central Ave Ste 301
Glendale CA 91204-4388
Phone: (818) 338-6860
Fax: (888) 425-9079
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD442485 | Pennsylvania |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD202793 | Louisiana |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A118692 | California |
Profile Details
NPI number | 1497924864 |
---|---|
LBN Legal business name | Moradian, Maxim |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 29th, 2008 |
Last updated | Apr 13th, 2021 - about 3 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 | 1497924864 | NPPES |
Louisiana | MEDICAID | 1006289 |
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