Mitra Moaddelly is a Pharmacist in Encino, California. Mitra Moaddelly practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Mitra Moaddelly is 1922110360. The last update date is 2007-07-08.
Mitra Moaddelly's current location address is 17717 Martha St, Encino, California. You can contact this provider via phone number 8188814757. The mailing address for Mitra Moaddelly is 17717 Martha St, Encino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitra Moaddelly |
|---|---|
| Address | 17717 Martha St, Encino, California |
| Phone Number | 8188814757 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922110360 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17717 Martha St |
|---|---|
| City | Encino |
| State | California (CA) |
| Post Code | 913161145 |
| Phone Number | 8188814757 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | RPH50285 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RPH50285 | CA | CA LICENSE |
Post Comment/ Review Below
What is the Mitra Moaddelly's 1922110360?
The Mitra Moaddelly's NPI (National Provider Identifier) Number is 1922110360. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mitra Moaddelly?
The Mitra Moaddelly is physically situated at 17717 Martha St, in the city of Encino, state of CA, with the postal code 913161145.
What is the Mitra Moaddelly's area of specialization and corresponding taxonomy classification?
The Mitra Moaddelly's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date was the 1922110360 assigned to Mitra Moaddelly?
The Mitra Moaddelly was issued its 1922110360 on 2006-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mitra Moaddelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mitra Moaddelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH