MEDICARE: DR. LISA C. MOORE M.D.

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	A71398	CA

General Provider Information

NPI Number	:	1386801710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA C. MOORE M.D.

Provider Business Mailing Address
First Line	:	1301 20TH STREET
Second Line	:	STE 100
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2208
Country	:	US
Telephone Number	:	310-829-4528
Fax Number	:	310-453-2161

Provider Business Practice Location Address
First Line	:	250 N ROBERTSON BLVD STE 606
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-1793
Country	:	US
Telephone Number	:	310-423-0550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	12/23/2021

Similar Medicare Providers

1366963472 — DR. NATASHA MALKANI MD
Practice Location Address:

250 N ROBERTSON BLVD STE 606
BEVERLY HILLS, CA
90211-1793

Practice Phone: 310-248-6840
Practice Fax:

1679585731 — DR. JOSHUA PENN M.D.
Practice Location Address:

250 N ROBERTSON BLVD , SUITE 403
BEVERLY HILLS, CA
90211-1793

Practice Phone: 310-551-2750
Practice Fax: 310-861-5620

1841334497 — GAYLE ELISE SINGER
Practice Location Address:

250 N ROBERTSON BLVD STE 425
BEVERLY HILLS, CA
90211-1793

Practice Phone: 310-271-4749
Practice Fax: 310-271-3551

1821283938 — ROSHNI SHAH M.D
Practice Location Address:

250 N ROBERTSON BLVD STE 606
BEVERLY HILLS, CA
90211-1793

Practice Phone: 310-248-6840
Practice Fax:

1649450735 — TYRA L BEAVERS BS PTA DC
Practice Location Address:

250 N ROBERTSON BLVD STE 411
BEVERLY HILLS, CA
90211-1793

Practice Phone: 310-859-7696
Practice Fax: 310-859-7699

1316273311 — DR. YALDA AZARMEHR M.D.
Practice Location Address:

250 N ROBERTSON BLVD STE 601
BEVERLY HILLS, CA
90211-1793

Practice Phone: 310-385-3534
Practice Fax: 310-385-3577

Directions to “ DR. LISA C. MOORE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.