Moss, Carol S
Moss, Carol S is an individual health care provider with primary practice located at 1300 N Vermont Ave Dept Of Radiology, Los Angeles CA 90027-6005. She recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Body Imaging is her primary health care specialty. Moss, Carol S can be contacted via phone (323) 913-4860.Contact Information
Primary practice address
1300 N Vermont Ave Dept Of Radiology
Los Angeles CA 90027-6005
Phone: (323) 913-4860
Fax: (323) 913-4922
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | G67355 | California |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | G67355 | California |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | G67355 | California |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | G67355 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G67355 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | G67355 | California |
Profile Details
| NPI number | 1548378144 |
|---|---|
| LBN Legal business name | Moss, Carol S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548378144 | NPPES |
| California | Other | G67355 | CA MEDICAL BOARD LIC |
| California | Other | WG67355Q | CA MEDICAL BOARD LIC |
| California | MEDICAID | 00G673550 | CA MEDICAL BOARD LIC |
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