Individual
DANIEL DE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-7556
(323) 226-2657
Mailing address
UNIVERISTY OF SOUTHERN CALIFORNIA, 1333 SAN PABLO STREET, BMT-B11, LOS ANGELES, CA 90033
(323) 442-2806
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A132298
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD3232267556
DD3232267556
CA
Enumeration date
03/30/2013
Last updated
11/17/2021
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