Individual
TAKAHIRO MORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10945 LE CONTE AVE, STE. 2339, LOS ANGELES, CA 90095-1687
(310) 825-5421
Mailing address
10945 LE CONTE AVE, STE. 2339, LOS ANGELES, CA 90095-1687
(310) 825-5421
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A110588
CA
Other
Enumeration date
05/09/2007
Last updated
04/01/2011
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