Inter Valley Wellness and Regeneration Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

INTER VALLEY WELLNESS AND REGENERATION CENTER

Practice address

317 S Brand Blvd Ste a-105
Glendale, CA 91204-1701

Phone

(818) 338-6860

Fax

(888) 425-9079

NPI assigned

Apr 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maxim Moradian, MD

Title

Owner/Physician

Phone

(818) 913-9356

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1649065384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S BRAND BLVD STE A-105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041701",
            "telephone_number": "818-338-6860",
            "fax_number": "888-425-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S BRAND BLVD STE A-105",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041701",
            "telephone_number": "818-338-6860",
            "fax_number": "888-425-9079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 5th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063712",
            "country_code": "US",
            "telephone_number": "626-460-1096",
            "fax_number": "888-425-9079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTER VALLEY WELLNESS AND REGENERATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-13",
        "status": "A",
        "authorized_official_last_name": "MORADIAN",
        "authorized_official_first_name": "MAXIM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "818-913-9356",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.