Jeremy Paul Moore
M.D. | Pediatrics | Male
Jeremy Paul Moore, M.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jeremy Paul Moore is
10833 Le Conte Ave, B265, Los Angeles, California - 90095-3075. He can be contacted on phone at
310-825-0867 and fax number 310-825-9524.
Jeremy Paul Moore is a sole proprietor of his business.
NPI number (Unique professional ID) for Jeremy Paul Moore is
1265676274 which was assigned by NPPES on 22 Apr, 2009 and it was last updated on 08 Jun, 2013.
Jeremy Paul Moore license number is
A88084 for Pediatrics (208000000X) in California.
Jeremy Paul Moore is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jeremy Paul Moore basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jeremy Paul Moore |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Jeremy Paul Moore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 10833 Le Conte Ave, B265
Los Angeles, CA, 90095-3075
United States |
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| Phone Number : | 310-825-0867 |
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| Fax Number : | 310-825-9524 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1265676274 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Apr, 2009 |
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| Last Updated On : | 08 Jun, 2013 |
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Medicare Participation:
Jeremy Paul Moore participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5193853299 |
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| Medicare Enrollment ID : | I20100511000755 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2003 |
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| Accepts Medicare? | Yes. Jeremy Paul Moore accepts medicare insurance. |
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Group Practice Association:
Jeremy Paul Moore is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jeremy Paul Moore is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Uc Regents | 4587568829 | 73 | 200 Medical Plz
Los Angeles, CA - 900950001 | Yes |
| Uc Regents | 4587568829 | 73 | 300 Medical Plz
Los Angeles, CA - 900950001 | Yes |
| Uc Regents | 4587568829 | 73 | 10833 Leconte Ave
Los Angeles, CA - 900953075
Ph: 3108259124 | Yes |
| Uc Regents | 4587568829 | 73 | 10833 Le Conte Ave
Los Angeles, CA - 900953075 | Yes |
| Uc Regents | 4587568829 | 73 | 757 Westwood Plaza
Ucla Dept Of Ped Grp
Los Angeles, CA - 900958358
Ph: 3108258021 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeremy Paul Moore are as mentioned. Primary taxonomy code for Jeremy Paul Moore, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | No | A88084 | CA |
| 208000000X | Pediatrics | Yes | A88084 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Jeremy Paul Moore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1265676274 | Other | CA | CCS PANELED |
| 1265676274 | MEDICAID | CA | |
| 00A880840 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5767 W Century Blvd, Suite 400
Los Angeles, CA, 90045-5631
United States |
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| Phone Number : | 310-825-5296 |
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| Fax Number : | 310-825-9524 |
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Business Location:
Patients can refer following map for directions to
Jeremy Paul Moore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.