Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENZIE JAMAL MOORE, IDC
Active Sole ProprietorMR. KENZIE JAMAL MOORE, IDC is a Independent Duty Corpsman healthcare provider located in LOS ANGELES, California. NPI 1932542636 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · LOS ANGELES, CA
Registration Details
- NPI Number
- 1932542636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2013 (13.335244799754 yrs)
- Last Updated
- Apr 11, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
5954 EDGEMAR AVELOS ANGELES, CA, 900433452Browse CA providers · Browse ZIP 90043
- Phone
- 3235591541
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MARISOL FERNANDEZ | SFIDC | 1326446709 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.