Organization
RICHARD MICHAEL MOORE MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MICHAEL MOORE MD (PRESIDENT)
(818) 898-4900
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD STE 310, MISSION HILLS, CA 91345-1203
(818) 898-4900
Mailing address
11550 INDIAN HILLS RD STE 310, MISSION HILLS, CA 91345-1203
(818) 898-4900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A123130
CA
Other
Enumeration date
07/17/2016
Last updated
12/30/2016
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