Search › California › 101YM0800X
Tara Moore
NPI 1649795246 · on the registry since 2017
Practice
- Address
- 1968 East 103rd Street
Los Angeles, CA 90002 - Phone
- (323) 242-5000
- Organisation at this address
- Lighthouse Community Outreach, Inc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 210 S De Lacey Ave Ste 110, Pasadena, CA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California