Individual provider · Type 1 NPI

Omega Moore, MEDICAL ASSISTANT

Addiction (Substance Use Disorder) Counselor · Hawthorne, CA

NPI number 1891318911 Active

Practice location

12917 Cerise Ave
Hawthorne, CA 90250-5520

Call (310) 675-1949 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891318911

Omega Moore, MEDICAL ASSISTANT's National Provider Identifier is 1891318911, issued on May 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hawthorne, CA. The record was last updated on May 22, 2020.