Moses O Edun

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111950 Issued in CA

Practice address

8019 S. Compton Ave
Los Angeles, CA 90001

Phone

(323) 586-7333

Fax

(424) 213-4840

NPI assigned

Jan 4, 2010

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1740510361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4995 PRAIRIE RUN RD",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917523914",
            "telephone_number": "310-436-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 S. COMPTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90001",
            "telephone_number": "323-586-7333",
            "fax_number": "424-213-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDUN",
        "first_name": "MOSES",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "37916",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Madrid Edu, RN
• Eduard Avetisyan DDS PC
• Eduard Dudukgian M.D., a Professional Co
• Eduard Minas MD Inc
• Eduardo O Lim Medical Corporation
• Joy L Edvalson, NP
• Wojciech Jan Edwarczyk
• Edward a Alexander ,MD (Dr. Edward A Alexander)
• Edward a Gabriel MD, Inc
• Edward B Lazor MD Inc

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.