Healthcare Provider Details

I. General information

NPI: 1285002576
Provider Name (Legal Business Name): MORAN HERMESH MS, RDN, IFNCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MORAN ZOHMAN MS, RDN, IFNCP

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22521 BLUERIDGE CT
CALABASAS CA
91302-5894
US

IV. Provider business mailing address

22521 BLUERIDGE CT
CALABASAS CA
91302-5894
US

V. Phone/Fax

Practice location:
  • Phone: 818-802-2434
  • Fax:
Mailing address:
  • Phone: 818-564-6862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: