Dr. John Gilbert Moe, PhD, MD
Internal Medicine in Los Angeles, CA. Individual provider (NPI-1).
NPI number1528035540
StatusActive
Last updated in NPPESAug 6, 2015
Details
- NPI
- 1528035540
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Gilbert Moe
- Credential
- PhD, MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 8, 2006
- Last updated
- Aug 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | G46368 | CA | Yes |
Practice location
6801 Park Ter 330Los Angeles, CA 90045-9212
Phone 310-295-2255 · Fax 310-657-4950
Mailing address
6801 Park Ter 330Los Angeles, CA 90045-9212
Phone 310-295-2255 · Fax 310-657-4950
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