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NPI Code Detail

MEDICARE: PALOMA MORAN PSYD, LP

MEDICARE:   PALOMA  MORAN  PSYD, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist34988CA

General Provider Information

NPI Number : 1699350405
Entity Type Code : Individual
Provider Name (Legal Business Name) : PALOMA MORAN PSYD, LP
Provider Business Mailing Address
First Line : 5012 CHESEBRO RD STE 200
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-2287
Country : US
Telephone Number : 925-282-1778
Fax Number :
Provider Business Practice Location Address
First Line : 5012 CHESEBRO RD STE 200
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-2287
Country : US
Telephone Number : 925-282-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2021
Last Update Date : 03/16/2026

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Directions to “ PALOMA MORAN PSYD, LP” Practice Location

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