Parvaneh Moheban, CLS

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MTA44130 Issued in CA

Practice address

5635 Cahuenga Blvd
North Hollywood, CA 91601-2104

Phone

(818) 308-7450

Fax

(818) 308-7795

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ms. Parvaneh Moheban Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Electro Diagnostic Medicine

  • Physical Therapy Clinic/Center
  • North Hollywood, CA
  • NPI 1417495904

  Clinical Medical Laboratory

  NPD (past)
• Total Rehabilitation Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • North Hollywood, CA
  • NPI 1679730923

  Clinical Medical Laboratory

  NPD (past)

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1962778480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 HILLSIDE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082416",
            "telephone_number": "818-547-9870",
            "fax_number": "818-547-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 CAHUENGA BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012104",
            "telephone_number": "818-308-7450",
            "fax_number": "818-308-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEBAN",
        "first_name": "PARVANEH",
        "credential": "CLS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "MTA44130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLS",
            "identifier": "MTA 44130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLS",
            "identifier": "24",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARVANEH",
            "last_name": "MOHEBAN",
            "prefix": "MS.",
            "credential": "CLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Afsar Moghadam
• Mastaneh G. Moghadam, LCSW
• Mogo Labs Inc
• Tukise Mogoje
• Sara Mohammadian
• Golnaz Mohebbi
• Mohsen Safaie PT Inc.
• Natalee Moinester
• Joshua Moises
• Wanjiku Ann Maxine Moite, M.D.

• Clinical Medical Laboratory in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.