Individual
ROSE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
127 S SAN VICENTE BLVD # A-3600, LOS ANGELES, CA 90048-3311
(310) 423-3851
(310) 423-0246
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-3851
(310) 423-0246
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009831
CA
363LG0600X
Gerontology Nurse Practitioner
95009831
CA
Other
Enumeration date
05/25/2018
Last updated
07/05/2022
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