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Search › California › 225400000X

Tyra Moody

NPI 1659672756 · on the registry since 2010 · sole proprietor

Practice

Address
2500 Wilshire Blvd
Ste. #500
Los Angeles, CA 90057
Phone
(213) 639-2665
Organisation at this address
Portals
Pacific Clinics
Portals House Inc
Portals Mental Health
Jmo Int Skills Dev Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
225400000X
225400000X
Sex
Female
Record last updated
2011-06-03

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