# JORGE L MORAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487795753
- **Authorized official:** JORGE L MORAN MD (PRESIDENT)
- **Authorized official phone:** (310) 673-9920

## Contact information

- **Practice address:** 210 S LOCUST ST, INGLEWOOD, CA 90301-2304
- **Practice address phone:** (310) 673-9920
- **Practice address fax:** (310) 673-9919
- **Mailing address:** 210 S LOCUST ST, INGLEWOOD, CA 90301-2304
- **Mailing address phone:** (310) 673-9920
- **Mailing address fax:** (310) 673-9919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A63662 | CA | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 03/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A636620 | — | CA |