Individual
DR. HEZEKIAH N. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1703 TERMINO AVE STE 204, LONG BEACH, CA 90804-2128
(562) 498-4425
(562) 498-4243
Mailing address
1703 TERMINO AVE STE 204, LONG BEACH, CA 90804-2128
(562) 498-4425
(562) 498-4243
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G54051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G540510
—
CA
Enumeration date
10/02/2006
Last updated
07/09/2007
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