MEDICARE: NAMI MORADI MD

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	207RC0000X	Cardiovascular Disease Physician	A176967	CA

General Provider Information

NPI Number	:	1356909980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAMI MORADI MD

Provider Business Mailing Address
First Line	:	3055 W ORANGE AVE STE 203
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3154
Country	:	US
Telephone Number	:	714-220-0263
Fax Number	:	714-952-2968

Provider Business Practice Location Address
First Line	:	3055 W ORANGE AVE STE 203
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3154
Country	:	US
Telephone Number	:	714-220-0263
Fax Number	:	714-952-2968

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

Provider Enumeration Date	:	05/29/2019
Last Update Date	:	12/24/2025

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