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General NPI Number Information
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NPI Number | 1669377974
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Entity Type | Individual
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Provider Name | MORA KHIEV-KARTT NP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 3828 DELMAS TER
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City | CULVER CITY
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State | CA
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Zip | 90232-2713
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Country | US
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Telephone | 310-836-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 E 21ST ST APT 2
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City | LONG BEACH
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State | CA
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Zip | 90806-5091
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 95041908
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License Number State | CA
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