person
Miguel A Moran, PA
Medical Physician Assistant in Los Angeles, California
NPI 1255413175

Miguel A Moran is a Medical Physician Assistant based in Los Angeles, CA and is specialized in Medical. Miguel A Moran practices in Los Angeles, CA and has the professional credentials of PA. The NPI Number for Miguel A Moran is 1255413175 and holds a License No. PA11298 (California).

The current practice location address for Miguel A Moran is 5540 N Figueroa St, Los Angeles, CA and can be reached out via phone at 323-478-1101 and via fax at 323-255-2745.

Location: 5540 N Figueroa St, Los Angeles, CA, 90042-4120
person
Provider Profile Details
NPI Number
1255413175
Provider Name
Miguel A Moran
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5540 N Figueroa St, Los Angeles, CA, 90042-4120
Phone Number
323-478-1101
Fax Number
323-255-2745
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA11298 05 CA
institution
Provider Business Practice Location Address Details
Address
5540 N Figueroa St
City
State
Zip
90042-4120
Phone Number
323-478-1101
Fax Number
323-255-2745
person
Provider Business Mailing Address Details
Address
5540 N Figueroa St
City
State
Zip
90042-4120
Phone Number
323-478-1101
Fax Number
323-255-2745
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA11298 (California)
Definition
Definition to come...
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