person
Wesley S Moore, MD
Vascular Surgery Physician in Los Angeles, California
NPI 1053335133

Wesley S Moore is a Vascular Surgery Physician based in Los Angeles, CA and is specialized in Vascular Surgery. Wesley S Moore practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Wesley S Moore is 1053335133 and holds a License No. A19266 (California).

The current practice location address for Wesley S Moore is 200 Ucla Medical Plz Ste 526, Los Angeles, CA and can be reached out via phone at 310-267-0172 and via fax at 310-725-4037.

Location: 200 Ucla Medical Plz Ste 526, Los Angeles, CA, 90045-5631
person
Provider Profile Details
NPI Number
1053335133
Provider Name
Wesley S Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Ucla Medical Plz Ste 526, Los Angeles, CA, 90045-5631
Phone Number
310-267-0172
Fax Number
310-725-4037
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A19266 01 CA BLUE SHIELD
A19266 01 CA BLUE CROSS
P00168682 01 CA MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
200 Ucla Medical Plz Ste 526
City
State
Zip
90095-6908
Phone Number
310-267-0172
Fax Number
310-725-4037
person
Provider Business Mailing Address Details
Address
200 Ucla Medical Plz Ste 526
City
State
Zip
90095-6908
Phone Number
310-267-0172
Fax Number
310-725-4037
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
A19266 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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