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Brandon Benjamin Moghanian

Student in an Organized Health Care Education/Training Program in Pasadena, CA. Individual provider (NPI-1).

NPI number1639005481
StatusActive
Last updated in NPPESJun 19, 2026

Details

NPI
1639005481
Entity type
Individual (NPI-1)
Name
Brandon Benjamin Moghanian
Sex
Male
Sole proprietor
No
Enumeration date
Jun 19, 2026
Certification date
Jun 19, 2026
Last updated
Jun 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

98 S Los Robles Ave
Pasadena, CA 91101-2433

Phone 888-576-3348

Mailing address

98 S Los Robles Ave
Pasadena, CA 91101-2433

Phone 888-576-3348

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