Individual
DR. JEFFREY RYAN MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 JONES WAY STE 30, SIMI VALLEY, CA 93065-1221
(805) 579-9999
Mailing address
2650 JONES WAY STE 30, SIMI VALLEY, CA 93065-1221
(805) 579-9999
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
A116433
CA
2084N0400X
Neurology Physician
A116433
CA
2084N0600X
Clinical Neurophysiology Physician
A116433
CA
Other
Enumeration date
06/25/2009
Last updated
09/11/2015
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