Individual
MS. JAIME MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2219 E 1ST ST, LOS ANGELES, CA 90033-3901
(323) 269-0421
(323) 780-9432
Mailing address
10418 VALLEY BLVD STE B, EL MONTE, CA 91731-3600
(626) 453-8466
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A8734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX87340
—
CA
Enumeration date
08/04/2006
Last updated
11/10/2011
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