Pan American Moa Foundation Inc

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

0002405889-0001-1 Issued in CA

Legal business name

PAN AMERICAN MOA FOUNDATION INC

Doing business as

MOA Wellness Center

Practice address

4533 S. Centinela Avenue
Los Angeles, CA 90066-6249

Phone

(310) 574-9900

Fax

(310) 574-9901

NPI assigned

Apr 20, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron C Kato

Title

Director/President

Phone

(310) 574-9900

Specialties & licenses 1

Addresses

Other names 1

• MOA Wellness Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1205127693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4533 S. CENTINELA AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666249",
            "telephone_number": "310-574-9900",
            "fax_number": "310-574-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 S. CENTINELA AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666249",
            "telephone_number": "310-574-9900",
            "fax_number": "310-574-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN AMERICAN MOA FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KATO",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "310-574-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "0002405889-0001-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOA Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabelle Mai Pamart-Tran
• Pamc LTD Pacific Alliance Medical Center (Pacific Alliance Medical Center)
• Claire Gabrielle N Pamintuan, PHARMD
• Vijayamalini Pampati, DO
• Tanaya Pampattiwar
• Abraham Pan
• Chelsea Pan
• Edward C Pan, D.C.
• Elizabeth Pan
• George Pan, M.D.

• Public Health & General Preventive Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.