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NPI Code Detail

MEDICARE: ANDREA MOSKOWITZ MD

MEDICARE:   ANDREA  MOSKOWITZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG66840CA
22084P0804XChild & Adolescent Psychiatry PhysicianG66840CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100G668400OTHERCAMEDICAL

General Provider Information

NPI Number : 1710998919
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MOSKOWITZ MD
Provider Business Mailing Address
First Line : 11303 W WASHINGTON BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-6003
Country : US
Telephone Number : 323-482-3200
Fax Number : 310-915-8579
Provider Business Practice Location Address
First Line : 11303 W WASHINGTON BLVD STE 200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-6003
Country : US
Telephone Number : 310-482-3200
Fax Number : 310-915-8579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 09/30/2024

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Directions to “ ANDREA MOSKOWITZ MD” Practice Location

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