Individual
ARDIS ANN MOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1399 ROXBURY DR, 100, LOS ANGELES, CA 90035-4709
(310) 557-1891
(310) 557-3450
Mailing address
1399 ROXBURY DR, 100, LOS ANGELES, CA 90035-4709
(310) 557-1891
(310) 557-3450
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G673070
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G673070
—
CA
Enumeration date
08/24/2006
Last updated
10/02/2012
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