Individual provider · Type 1 NPI

Theodore Bruce Moore, MD

Pediatric Hematology & Oncology Physician · Los Angeles, CA

NPI number 1710091020 Active

Practice location

10833 Le Conte Ave, 12-441 Mdcc
Los Angeles, CA 90095-3075

Call (310) 825-6708 Map

Fax (310) 206-8089

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician Primary 2080P0207XG69308 (CA)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1710091020

Theodore Bruce Moore, MD's National Provider Identifier is 1710091020, issued on Aug 17, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 27, 2012.