NPI 1003158478

Mamoe Mamoe

Practitioner Community Health Worker Los Angeles, CA

Practice location

Address: 605 W Olympic Blvd STE 600, Los Angeles, CA 90015-1475
Phone: (213) 236-9388
Fax: (213) 489-7993

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in California →

Registry record

NPI: 1003158478
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2013
Record last updated: 22 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.