Individual
ANGELA Y MOSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2360 CORPORATE CIR STE 280, HENDERSON, NV 89074-7718
(702) 961-0164
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22320
OK
207Q00000X
Family Medicine Physician
26741
NV
207Q00000X
Family Medicine Physician
Primary
C136817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072380A
—
OK
Enumeration date
01/10/2006
Last updated
12/18/2024
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