Provider Demographics
NPI:1467609578
Name:ABDI MOROVATI, D.O., INC.
Entity Type:Organization
Organization Name:ABDI MOROVATI, D.O., INC.
Other - Org Name:PACIFIC COAST NEUROLOGY, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDI
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MOROVATI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-986-1299
Mailing Address - Street 1:16661 VENTURA BLVD.
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436
Mailing Address - Country:US
Mailing Address - Phone:818-986-1299
Mailing Address - Fax:
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:SUITE 700
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-986-1299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1417000563OtherINDIVIDUAL NPI #
CAG91608Medicare UPIN