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MOONLIGHT ALAN
NPI 1245937036
Nurse Practitioner - Family in Burbank, CA

Active since February 13, 2023
3808 W RIVERSIDE DR STE 407, BURBANK, CA 91505(213) 218-9245 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moonlight Alan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOONLIGHT ALAN (NPI 1245937036) is an individual family provider in Burbank, California, licensed in California (95023700) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1245937036
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMOONLIGHT ALAN
Location Address3808 W RIVERSIDE DR STE 407Burbank, CA 91505-5301
Mailing Address945 N Serrano Ave Apt 113Los Angeles, CA 90029-3274 · (213) 422-9126
Phone(213) 218-9245
Sole ProprietorYes
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 11, 2023
✔ NPI 1245937036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95023700
3808 W RIVERSIDE DR STE 407, Burbank, CA 91505
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Other Identifiers 1

OtherF08220387CA · Other Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moonlight Alan's NPI number?

The NPI number for Moonlight Alan is 1245937036. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Moonlight Alan located?

Moonlight Alan practices at 3808 W Riverside Dr Ste 407, Burbank, CA 91505. The listed phone number is (213) 218-9245.

What is Moonlight Alan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Moonlight Alan was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.