Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitra Moaddelly

Individual provider Pharmacist · NPI 1922110360

Dr. Mitra Moaddelly is a Pharmacist in Encino, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

17717 Martha St
Encino, CA 91316-1145
Phone: (818) 881-4757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH50285 (CA)

Record details

NPI number1922110360
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 8, 2007
Mailing address17717 Martha St, Encino, CA 91316-1145

Other providers in Encino