ANGELA MOORE-HODGE


Address: 2975 Wilshire Blvd Ste 401, 4116 Camino Real Los Angeles, Ca. 90065, Los Angeles, CA 90010-1112
Phone: 2133681654

ANGELA MOORE-HODGE (NPI# 1295932937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295932937
Entity Type Individual
Full Name ANGELA MOORE-HODGE
Other Name ANGELA MOORE-HODGE
Practice Address 2975 Wilshire Blvd Ste 401
4116 Camino Real Los Angeles, Ca. 90065
Los Angeles
CA 90010-1112
Mailing Address 2975 Wilshire Blvd Ste 401
Los Angeles
CA 90010-1112
Practice Telephone 2133681654
Practice Fax Number 2133681658
Mailing Telephone 2133681654
Mailing Fax Number 2133681658
Enumeration Date 2007-06-27
Last Update Date 2007-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
PA11502 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2975 WILSHIRE BLVD STE 401
4116 CAMINO REAL LOS ANGELES, CA. 90065
City LOS ANGELES
State CA
Zip Code 90010-1112

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NPI Name Taxonomy Address Enumeration
1205454204 Sage Minds Psychiatry & Neurology 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 2020-07-07
1629602750 Shalva, A Psychology Corporation Counselor 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 2020-02-27
1609346287 Leticia Arteaga Marriage & Family Therapist 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 2018-11-27
1891265559 Maria Nguyen Case Manager/Care Coordinator 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 2018-11-26
1568955474 Cherie Emi Okada Student in an Organized Health Care Education/Training Program 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 2018-06-14
1780101832 Bj Park, Chiropractic Acupuncturist 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 2017-08-29
1952828188 Karin Alm Case Manager/Care Coordinator 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 2017-08-28
1295257111 Freddy Pablo Rehabilitation Practitioner 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 2017-07-12
1770032690 Astghik Harutyunyan Special Hospital 3699 Wilshire Blve, Los Angeles, CA 90010 2016-10-04
1629446281 Praveena Chinniah Behavioral Analyst 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 2015-09-11
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972081412 Ahra Cho, M.d., Inc Internal Medicine 2727 W Olympic Blvd Ste 205, Los Angeles, CA 90006-2640 2018-08-06
1063714749 Daniel L. Gornel Internal Medicine 1136 Hi Point St, Los Angeles, CA 90035-2610 2010-12-01
1659445823 Francisco Quijas Internal Medicine 1700 Cesar Chavez Ave, Senior Care Clinic, Los Angeles, CA 90033-2414 2006-11-20
1285741579 Vinod I Patel Internal Medicine 12021 S. Wilmingtom Ave, Los Angeles, CA 90059 2006-08-24
1265467864 David Avram Ganz Internal Medicine 11301 Wilshire Blvd (11g), Los Angeles, CA 90073-1003 2006-07-11
1831129063 La Town Medical Group, Inc. Internal Medicine 3663 W 6th St, Suite 206, Los Angeles, CA 90020-3049 2006-07-04
1174585376 Zaldy S Tan Internal Medicine 127 S San Vicente Blvd # A6600, Los Angeles, CA 90048-3311 2006-04-04
1891764304 Sakaye Shigekawa M.d. Internal Medicine 1511 N Benton Way, Los Angeles, CA 90026-2218 2006-03-16
1134109200 Dong Hyun Lee Internal Medicine 2727 W Olympic Blvd Ste 309, Los Angeles, CA 90006-2699 2006-01-17
1538723382 Dong Hyun Lee, Md, Inc. Internal Medicine 2727 W Olympic Blvd Ste 309, Los Angeles, CA 90006-2699 2019-04-26
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Competitor

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City LOS ANGELES
Zip Code 90010

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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