Individual
DR. JORGE LUIS MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A63662
CA
Other
Enumeration date
07/12/2006
Last updated
03/26/2014
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