Individual
MOIN U VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
A104568
CA
207SG0202X
Clinical Biochemical Genetics Physician
A104568
CA
208000000X
Pediatrics Physician
A104568
CA
Other
Enumeration date
07/24/2007
Last updated
12/01/2021
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