Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A129526 | CA |
NPI | 1184977803 |
---|---|
Provider Name | Lewis Kipling Moss |
First Address | Torrance, CA 90509 |
Second Address | Torrance, CA 90509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2012 |
Last Update Date | 07/01/2020 |