ROBERTA MORADFAR


Address: 9201 W Sunset Blvd Ste 214, West Hollywood, CA 90069-3703
Phone: (818) 400-6090

ROBERTA MORADFAR (NPI# 1770011181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770011181
Entity Type Individual
Full Name ROBERTA MORADFAR
Credential NP
Practice Address 9201 W Sunset Blvd Ste 214
West Hollywood
CA 90069-3703
Practice Telephone (818) 400-6090
Mailing Telephone 8184006090
Enumeration Date 2017-05-30
Last Update Date 2017-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
95005497 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 9201 W SUNSET BLVD STE 214
City WEST HOLLYWOOD
State CA
Zip Code 90069-3703

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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City WEST HOLLYWOOD
Zip Code 90069

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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