Organization
JORGE L MORAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L MORAN MD (PRESIDENT)
(310) 673-9920
Entity
Organization
Contact information
Practice address
210 S LOCUST ST, INGLEWOOD, CA 90301-2304
(310) 673-9920
(310) 673-9919
Mailing address
210 S LOCUST ST, INGLEWOOD, CA 90301-2304
(310) 673-9920
(310) 673-9919
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A63662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A636620
—
CA
Enumeration date
02/09/2007
Last updated
03/09/2018
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