Organization
VAN SCOY-MOSHER MILLER MDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B VAN SCOY-MOSHER MD (PARTNER)
(310) 659-9397
Entity
Organization
Contact information
Practice address
8631 W 3RD ST, 600 E, LOS ANGELES, CA 90048-5901
(310) 659-9397
(310) 854-3028
Mailing address
8631 W 3RD ST, 600 E, LOS ANGELES, CA 90048-5901
(310) 659-9397
(310) 854-3028
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G22248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB2845
RR MEDICARE
—
Enumeration date
03/05/2007
Last updated
10/18/2010
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