Individual provider · Type 1 NPI

Alexandra Mary Moulton, MD

Pediatric Surgery Physician · Los Angeles, CA

NPI number 1386272276 Active

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Mailing address

3804 Farnam St Apt 510
Omaha, NE 68131-3233

Other practice locations

  • 1000 W Carson St, Torrance, CA 90502-2004 · (424) 306-8070

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Surgery Physician Primary 2086S0120XA185382 (CA)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1386272276

Alexandra Mary Moulton, MD's National Provider Identifier is 1386272276, issued on Mar 28, 2020. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 26, 2024.