Wesley S Moore
Vascular Surgeon
200 Ucla Medical Plz Ste 526
Los Angeles
, California 90095-6908
Wesley S Moore
Vascular Surgeon
200 Ucla Medical Plz Ste 526
Los Angeles
, California 90095-6908
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Wesley S Moore
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Wesley S Moore
- 200 Ucla Medical Plz Ste 526
- Los Angeles, CA
- Zip : 90095-6908
- Fax : (310) 725-4037
- Phone : (310) 267-0172
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | A19266 | CA |
National Provider Identifier
| NPI | 1053335133 |
|---|---|
| Provider Name | Wesley S Moore |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90095-6908 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 20/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A19266 | BLUE SHIELD (01) | CA |
| A19266 | BLUE CROSS (01) | CA |
| A21681 | (02) | CA |
| P00168682 | MEDICARE PIN (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.