Lisa C Moore MD Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A71398 Issued in CA

Legal business name

LISA C MOORE MD INC

Practice address

1301 20TH St
#290
Santa Monica, CA 90404

Phone

(310) 453-3312

Fax

(310) 453-3808

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lisa C Moore, MDNPI 1386801710

Title

Physician & President

Phone

(310) 453-3312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa C. Moore, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Beverly Hills, CA
  • NPI 1386801710
  NPD Authorized official

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386696888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 SANTA MONICA BLVD",
            "address_2": "#336",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-453-3312",
            "fax_number": "310-453-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST",
            "address_2": "#290",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-453-3312",
            "fax_number": "310-453-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA C MOORE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN & PRESIDENT",
        "authorized_official_telephone_number": "310-453-3312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A71398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Weidi Liou, MD
• Karina Lipkin
• Leonard Michael Lipman, M.D.
• Alissa Lippman, MS, RD, CLE
• Marla Danielle Lipsyc-Sharf, MD
• Lisa C Moore MD Inc
• Lisa D. Vidato, M.D., Inc.
• Lisa E Pulver
• Lisa Haas Physical Therapy, Inc.
• Lisa M. Masterson MD a Professional Corporation

• Endocrinology, Diabetes & Metabolism Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.