Organization
BETH MOORE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH A MOORE MD (PHYSICIAN)
(310) 854-3580
Entity
Organization
Contact information
Practice address
8737 BEVERLY BLVD, SUITE 402, W HOLLYWOOD, CA 90048-1828
(310) 854-3580
(310) 659-5830
Mailing address
8737 BEVERLY BLVD, SUITE 402, LOS ANGELES, CA 90048
(310) 854-3580
(310) 659-5830
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G83667
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
G83667
CA
Other
Enumeration date
07/19/2011
Last updated
09/23/2011
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