Individual
MR. BRIAN MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12021 S WILMINGTON AVE, BLDG 18, STE 301, LOS ANGELES, CA 90059
(424) 454-6081
Mailing address
1343 W 4TH ST, SAN PEDRO, CA 90732-3219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1599440225
CA
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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