Individual
DR. DANIEL CARL MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 S FAIR OAKS AVE, PASADENA, CA 91105-2603
(626) 795-2244
Mailing address
5553 W 6TH ST, #2307, LOS ANGELES, CA 90036-7503
(323) 931-7912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A74732
CA
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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