Organization
LISA C MOORE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA C MOORE MD (PHYSICIAN & PRESIDENT)
(310) 453-3312
Entity
Organization
Contact information
Practice address
1301 20TH ST, #290, SANTA MONICA, CA 90404
(310) 453-3312
(310) 453-3808
Mailing address
2461 SANTA MONICA BLVD, #336, SANTA MONICA, CA 90404
(310) 453-3312
(310) 453-3808
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A71398
CA
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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