Individual
TIM MOSCICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,
Contact information
Practice address
1901 VENICE BLVD, LOS ANGELES, CA 90006-4401
(213) 381-5121
(213) 738-1647
Mailing address
1901 VENICE BLVD, LOS ANGELES, CA 90006-4401
(213) 381-5121
(213) 738-1647
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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