Mariam Moini, is a
Psychologist - Clinical based in Los Angeles, California. Mariam Moini is licensed to practice in California (license number 28480) and her current practice location is
11500 W Olympic Blvd Ste 538, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 836-1223.
NPI number for Mariam Moini is 1215246723 and her current mailing address is 11500 W Olympic Blvd Ste 538, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215246723.
Healthcare Provider's Profile
| Full Name | Mariam Moini |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
|---|
| Location | 11500 W Olympic Blvd Ste 538, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215246723
- Provider Enumeration Date: 09/30/2010
- Last Update Date: 03/29/2017
Medical Identifiers
Medical identifiers for Mariam Moini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215246723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | PENDING (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 28480 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mariam Moini is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mariam Moini,
11500 W Olympic Blvd Ste 538,
Los Angeles, CA 90064-1672
Ph: (310) 968-3912 | Mariam Moini,
11500 W Olympic Blvd Ste 538,
Los Angeles, CA 90064-1672
Ph: (310) 836-1223 |
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