NPIMap

Individual provider Active NPI

Lia Moua

  • Rehabilitation Practitioner
  • Van Nuys, CA
National Provider Identifier
1992134779
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
14515 Hamlin St
Suite 200
Van Nuys, CA 91411-1608
Phone
(818) 374-5383
Fax
(818) 374-5388
NPI assigned
Nov 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

14515 Hamlin St
Suite 200
Van Nuys, CA 91411-1608

Mailing address

14515 Hamlin St
Suite 200
Van Nuys, CA 91411-1608
Phone (818) 374-5383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Community Mental Health Center Past Accepting new patients
San Fernando Valley Community Mental Health Center, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383350400000",
    "number": "1992134779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 HAMLIN ST",
            "address_2": "SUITE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111608",
            "telephone_number": "818-374-5383",
            "fax_number": "818-374-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 HAMLIN ST",
            "address_2": "SUITE 200",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111608",
            "telephone_number": "818-374-5383",
            "fax_number": "818-374-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUA",
        "first_name": "LIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.