| Doctor Name: | CAROL S MOSS |
| NPI Number: | 1548378144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | G67355 |
| Business Practice Address: | 1300 N Vermont Ave Dept Of Radiology Los Angeles, CA - 900276005 |
| Business Phone Number: | 3239134860 |
| Business Fax Number: | 3239134922 |
| Mailing Address: | Po Box 657, WEST COVINA |
| State: | CA |
| Postal Code: | 917930657 |
| Phone Number: | 9095954595 |
| Fax Number: | 9095954365 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | G67355 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |