Individual ProviderPaola Belen MoranStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address18701 N 67th Ave, Glendale, AZ 85308-7100(623) 561-1000(310) 528-3160PECOS EnrollmentBased on the most recent information from CMS, provider Paola Belen Moran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1629711007Provider TypeIndividualFull NameMoran, Paola BelenCredentialMDGenderFemaleSole ProprietorYesEnumeration Date4/14/2022Last Updated4/14/2022Contact InformationPractice LocationPractice Address18701 N 67th Ave, Glendale, AZ 85308-7100Phone(623) 561-1000FaxUnlisted FaxMailing LocationMailing Address11917 Ayres Ave, Los Angeles, CA 90064-1304Phone(310) 528-3160FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer