Individual
JAMES MICHAEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095-3075
(310) 267-8626
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A64165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A641650
BLUE SHIELD OF CA
CA
05
—
00A641650
—
CA
01
—
050056484
RR MEDICARE
CA
Enumeration date
06/22/2006
Last updated
08/29/2024
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