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NPI Code Detail

MEDICARE: CARLOS FRANCISCO MORAN

MEDICARE: CARLOS FRANCISCO MORAN
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
1101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1225400000XOTHERCAREHABILITATION PRACTITION

General Provider Information

NPI Number : 1396879391
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLOS FRANCISCO MORAN
Provider Business Mailing Address
First Line : 5715 S BROADWAY
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-4131
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5715 S BROADWAY
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-4131
Country : US
Telephone Number : 323-948-0444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 02/19/2010

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Directions to “ CARLOS FRANCISCO MORAN ” Practice Location

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