MAYRA MAGDALENA MORAN
NPI 1184394165
Counselor - Addiction (Substance Use Disorder) in Gardena, CA
Active since September 20, 2021
About Mayra Magdalena Moran NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYRA MAGDALENA MORAN (NPI 1184394165) is an individual addiction (substance use disorder) provider in Gardena, California and active in the NPI registry since September 2021.
NPPES Registry Identity
NPI1184394165
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMAYRA MAGDALENA MORAN
Location Address15519 CRENSHAW BLVDGardena, CA 90249-4525
Mailing Address15519 Crenshaw BlvdGardena, CA 90249-4525 · (310) 679-9031
Phone(310) 679-9031
Sole ProprietorYes
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1184394165 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
15519 CRENSHAW BLVD, Gardena, CA 90249
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
GARDENA, CA 90249
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
GARDENA, CA 90249
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
GARDENA, CA 90249
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
GARDENA, CA 90249
Counselor (Addiction (Substance Use Disorder))
15519 CRENSHAW BLVD
GARDENA, CA 90249
GARDENA, CA 90249
Substance Abuse Rehabilitation Facility
15519 CRENSHAW BLVD
GARDENA, CA 90249
GARDENA, CA 90249
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
15519 CRENSHAW BLVD
GARDENA, CA 90249
GARDENA, CA 90249
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184394165, enumerated as an "individual" on September 20, 2021.
The provider is located at 15519 CRENSHAW BLVD GARDENA, CA 90249 and the phone number is (310) 679-9031.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).