Organization
CLEAR MOUNTAIN MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK SUSUMU MORIYAMA MD (CEO)
(714) 932-7444
Entity
Organization
Contact information
Practice address
5315 TORRANCE BLVD STE B-1, TORRANCE, CA 90503-4011
(714) 932-7444
Mailing address
1212 5TH ST STE 1-432, SANTA MONICA, CA 90401-1400
(714) 932-7444
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
09/26/2023
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