Individual
TINA MOAZEZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(310) 222-1867
(310) 533-0627
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2059
(310) 222-1867
(310) 533-0627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.077638
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
20A22616
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
06/18/2024
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