| Lisa C Moore Md Inc | |
|
1301 20th St #290 Santa Monica CA 90404 | |
| (310) 453-3312 | |
| (310) 453-3808 |
| Full Name | Lisa C Moore Md Inc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1301 20th St, Santa Monica, California |
| Authorized Official Name and Position | Lisa C Moore (PHYSICIAN & PRESIDENT) |
| Authorized Official Contact | 3104533312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C Moore Md Inc 2461 Santa Monica Blvd #336 Santa Monica CA 90404 Ph: (310) 453-3312 | Lisa C Moore Md Inc 1301 20th St #290 Santa Monica CA 90404 Ph: (310) 453-3312 |
| NPI Number | 1386696888 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386696888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | A71398 (California) | Primary |
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