Individual
ANGELA MOORE-HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2975 WILSHIRE BLVD STE 401, 4116 CAMINO REAL LOS ANGELES, CA. 90065, LOS ANGELES, CA 90010-1112
(213) 368-1654
(213) 368-1658
Mailing address
2975 WILSHIRE BLVD STE 401, LOS ANGELES, CA 90010-1112
(213) 368-1654
(213) 368-1658
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
PA11502
CA
Other
Enumeration date
06/27/2007
Last updated
07/31/2007
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