Healthcare Provider Details

I. General information

NPI: 1215831300
Provider Name (Legal Business Name): NAMI MORADI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 W ORANGEWOOD AVE STE B
ORANGE CA
92868-1955
US

IV. Provider business mailing address

2141 W ORANGEWOOD AVE STE B
ORANGE CA
92868-1955
US

V. Phone/Fax

Practice location:
  • Phone: 949-461-2488
  • Fax:
Mailing address:
  • Phone: 949-461-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: NAMI MORADI
Title or Position: OWNER
Credential: MD
Phone: 949-461-2488