MEDICARE: NEDA MOEINI ND

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
1	175F00000X	Naturopath	1413	CA

General Provider Information

NPI Number	:	1821871419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEDA MOEINI ND

Provider Business Mailing Address
First Line	:	23016 LAKE FOREST DR # 422
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-1324
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	31654 RANCHO VIEJO RD STE E
Second Line	:
City	:	SAN JUAN CAPISTRANO
State	:	CA
Zip	:	92675-6720
Country	:	US
Telephone Number	:	949-505-2731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	08/16/2023

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Directions to “ NEDA MOEINI ND” Practice Location

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