Healthcare Provider Details

I. General information

NPI: 1427260066
Provider Name (Legal Business Name): TIMOTHY STEVEN MOY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 ORD ST #102-A
LOS ANGELES CA
90012
US

IV. Provider business mailing address

1407 EDGECLIFFE DR
LOS ANGELES CA
90026-1505
US

V. Phone/Fax

Practice location:
  • Phone: 213-617-0136
  • Fax:
Mailing address:
  • Phone: 323-878-8462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number38097
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: