Individual
JOHN MICHAEL MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4128 KENYON AVE, LOS ANGELES, CA 90066-5736
(424) 415-9112
(323) 300-2033
Mailing address
4128 KENYON AVE, LOS ANGELES, CA 90066-5736
(424) 415-9112
(323) 300-2033
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A106052
CA
208600000X
Surgery Physician
A106052
CA
208D00000X
General Practice Physician
Primary
A106052
CA
Other
Enumeration date
11/18/2008
Last updated
07/22/2022
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