MR. BURL RODDY MOORE


Address: 5317 Corning Ave., Los Angeles, CA 90056
Phone: 3107871500

MR. BURL RODDY MOORE (NPI# 1699800136) 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) 1699800136
Entity Type Individual
Full Name MR. BURL RODDY MOORE
Credential BS DEGREE PSYC.
Practice Address 5317 Corning Ave.
Los Angeles
CA 90056
Mailing Address 5317 S Corning Ave
Los Angeles
CA 90056-1105
Practice Telephone 3107871500
Practice Fax Number 3107879713
Mailing Telephone 3107871500
Mailing Fax Number 3107879713
Enumeration Date 2007-02-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Other Providers BURL MOORE

NPI Name Taxonomy Address Enumeration
1184033813 Burl Moore IIi Pharmacist 3201 N 16th St, Parsons, KS 67357-3472 2014-08-06

Office Location

Street Address 5317 CORNING AVE.
City LOS ANGELES
State CA
Zip Code 90056

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255588026 Miriam Gutierrez Psychologist 5110 W. Goldleaf Circle, Los Angeles, CA 90056 2008-08-25
1821462722 Daniela Covel Zanich Social Worker 5105 W Goldleaf Cir, Los Angeles, CA 90056 2015-11-16
1467652727 Melissa Lowry Tran Marriage & Family Therapist 5105 W Goldleaf Cir, Los Angeles, CA 90056 2007-07-24
1821204058 Thc - Orange County, LLC General Practice 5525 W Slauson Ave, Los Angeles, CA 90056 2007-05-15
1447335146 Thc - Orange County, LLC Long Term Care Hospital 5525 W Slauson Ave, Los Angeles, CA 90056 2006-10-25
1033390463 Phillip Gordon Mckinley Emergency Medicine 5219 Reynier Ave, Los Angeles, CA 90056-1018 2007-11-14
1508852518 William Robert Reeve Pharmacist 5231 Senford Ave, Los Angeles, CA 90056-1024 2005-09-25
1417083791 James L Meltzer Internal Medicine 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 2007-02-23
1952363012 Glenview Pathology Medical Group Pathology 5525 W Slauson Ave, Los Angeles, CA 90056-1047 2006-04-04
1417450461 Natalie Meyer Pharmacist 5525 W Slauson Ave, Los Angeles, CA 90056-1047 2018-03-16
Find all providers in zip 90056

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093341364 Angela Lavonne Dumas Social Worker 11301 Wilshire Blvd Bldg 258, Los Angeles, CA 90073-1003 2020-03-19
1245866573 Monica Tate Social Worker 11301 Wilshire Blvd Bldg 158, Los Angeles, CA 90073-1003 2020-03-18
1235786401 Jermelle F Pitts Social Worker 832 Fedora St Apt 207, Los Angeles, CA 90005-2106 2019-08-22
1437714615 Jackeline L Ramon Social Worker 572 S. La Fayette Park Place #6, Los Angeles, CA 90057 2019-05-03
1811462179 Martin Soto Coronel Social Worker 2010 Zonal Ave Rm 4p81, Los Angeles, CA 90033-1026 2018-10-12
1306320833 R and R Family Services Inc. Social Worker 854 N Las Palmas Ave, Los Angeles, CA 90038-3516 2018-09-20
1205316403 Tu Tram Huynh Nguyen Social Worker 1902 Marengo St Ste 107, Los Angeles, CA 90033-1378 2018-08-16
1790264729 Miguel A Sanguino Social Worker 3658 City Terrace Dr, Los Angeles, CA 90063-2015 2018-08-10
1841786498 Tanya Patimeteeporn Social Worker 4211 S. Avalon Blvd, Los Angeles, CA 90011-5622 2018-07-06
1013402478 Guillermo Gonzalez Lopez Social Worker La Cada, 1773 Griffith Park, Los Angeles, CA 90026 2018-06-28
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90056

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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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