Individual provider · Type 1 NPI

Dominic Moog

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1144024050 Active

Practice location

150 Ucla Medical Plz
Los Angeles, CA 90024-8313

Call (310) 825-9111 Map

Mailing address

1540 Skyline Trl
Eagan, MN 55121-1150

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144024050

Dominic Moog's National Provider Identifier is 1144024050, issued on Apr 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 1, 2025.