Jeremy Paul Moore
Pediatrician Pediatric Cardiologist
10833 Le Conte Ave B265
Los Angeles
, California 90095-3075
Jeremy Paul Moore
Pediatrician Pediatric Cardiologist
10833 Le Conte Ave B265
Los Angeles
, California 90095-3075
(310) 825-9524
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About
Features
Specialties
- Pediatrician
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Jeremy Paul Moore
- 5767 W Century Blvd Suite 400
- Los Angeles, CA
- Zip : 90045-5631
- Fax : (310) 825-9524
- Phone : (310) 825-5296
Second Address
- Jeremy Paul Moore
- 10833 Le Conte Ave B265
- Los Angeles, CA
- Zip : 90095-3075
- Fax : (310) 825-9524
- Phone : (310) 825-0867
Reviews
FAQs
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Is Jeremy Paul Moore accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | A88084 | CA |
| N | 2080P0202X | Pediatric Cardiologist | A88084 | CA |
National Provider Identifier
| NPI | 1265676274 |
|---|---|
| Provider Name | Jeremy Paul Moore |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90095-3075 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2009 |
| Last Update Date | 08/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A880840 | (05) | CA |
| 1265676274 | (05) | CA |
| 1265676274 | CCS PANELED (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.