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Dr. Theodore Bruce Moore, MD
Pediatric Hematology & Oncology Physician in Los Angeles, California
NPI 1710091020

Theodore Bruce Moore is a Pediatric Hematology & Oncology Physician based in Los Angeles, CA and is specialized in Pediatric Hematology-Oncology. Theodore Bruce Moore practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Theodore Bruce Moore is 1710091020 and holds a License No. G69308 (California).

The current practice location address for Theodore Bruce Moore is 10833 Le Conte Ave, Los Angeles, CA and can be reached out via phone at 310-825-6708 and via fax at 310-206-8089.

Location: 10833 Le Conte Ave, Los Angeles, CA, 90095-3075
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Provider Profile Details
NPI Number
1710091020
Provider Name
Theodore Bruce Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10833 Le Conte Ave, Los Angeles, CA, 90095-3075
Phone Number
310-825-6708
Fax Number
310-206-8089
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0053510 05 CA
00G693080 05 CA
institution
Provider Business Practice Location Address Details
Address
10833 Le Conte Ave
City
State
Zip
90095-3075
Phone Number
310-825-6708
Fax Number
310-206-8089
person
Provider Business Mailing Address Details
Address
10833 Le Conte Ave
City
State
Zip
90095-3075
Phone Number
310-825-6708
Fax Number
310-206-8089
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
G69308 (California)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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