Bonnie Teklin Moura in Los Angeles - Internal Medicine

Bonnie Teklin Moura - NPI 1487628459

Bonnie Teklin Moura is a Internal Medicine in Los Angeles, California. Bonnie Teklin Moura practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bonnie Teklin Moura is 1487628459. The last update date is 2012-04-24.

Bonnie Teklin Moura's current location address is 1520 San Pablo St, Los Angeles, California. You can contact this provider via phone number 8189523075 and fax number 8187902215. The mailing address for Bonnie Teklin Moura is 1520 San Pablo St, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonnie Teklin Moura
Address 1520 San Pablo St, Los Angeles, California
Phone Number 8189523075
Fax Number 8187902215
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1487628459
Provider Enumeration Date 2006-02-15
Last Updated Date 2012-04-24

Provider Mailing Address Detail

Address 1520 San Pablo St
City Los Angeles
State California (CA)
Post Code 900335310
Phone Number 8189523075
Fax Number 8187902215

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No G061553
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1902846306 CA GROUP NPI
W18762 CA GROUP MEDICARE
GR0100430 CA GROUP MEDICAL

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FAQs about Bonnie Teklin Moura

What is the unique identification code assigned to Bonnie Teklin Moura by the Centers for Medicare & Medicaid Services?

The Bonnie Teklin Moura has been issued the NPI (National Provider Identifier) 1487628459. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Bonnie Teklin Moura is located?

The Bonnie Teklin Moura is situated at the following address: 1520 San Pablo St, Los Angeles, CA, 900335310.

What is Bonnie Teklin Moura's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bonnie Teklin Moura's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did Bonnie Teklin Moura receive its 1487628459 assignment from the Centers for Medicare & Medicaid Services?

The Bonnie Teklin Moura was assigned its 1487628459 on 2006-02-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Bonnie Teklin Moura's details last updated?

The information pertaining to the Bonnie Teklin Moura, including its address, specialty, and other details, was most recently updated on 2012-04-24.

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