MR. LANCE S. MOORE (NPI# 1902016421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902016421 |
| Entity Type | Individual |
| Full Name | MR. LANCE S. MOORE |
| Practice Address |
6400 Green Valley Cir Apt 302 Culver City CA 90230-7008 |
| Practice Telephone | 3103946889 |
| Practice Fax Number | 3103946883 |
| Mailing Telephone | 3103946889 |
| Mailing Fax Number | 3103946883 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750459665 | Lance D Moore | Chiropractor | 212 Hwy 87, Comfort, TX 78013-3705 | 2006-11-30 |
| 1154701928 | Lance Moore | Physical Therapist | 1093 E Bridge St, Brighton, CO 80601-2252 | 2015-06-05 |
| 1932446838 | Lance Howard Moore | Pharmacist | 103 W Main St, Princeton, KY 42445-1546 | 2013-01-11 |
| 1609021096 | Lance Moore | Pharmacy Technician | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2008-11-26 |
| 1588776033 | Lance T Moore | Chiropractor | 302 Island Ave, Ste 103, San Diego, CA 92101 | 2006-08-31 |
| Street Address |
6400 GREEN VALLEY CIR APT 302 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1497107098 | Joselyn Valle | Rehabilitation Practitioner | 12099 W Washignton Ave., Suite 200, Culver City, CA 90066 | 2016-07-07 |
| 1285864934 | Jennifer C Graham | Rehabilitation Practitioner | 9808 Venice Blvd Ste 702, Culver City, CA 90232-6807 | 2009-07-15 |
| 1356590210 | Lauren T Martin | Rehabilitation Practitioner | 5950 Canterbury Dr Apt C104, 5950 Canterbury Drive #c104, Culver City, CA 90230-6715 | 2008-09-16 |
| 1154456572 | Hao The Nguyen | Rehabilitation Practitioner | 11704 Braddock Dr, Culver City, CA 90230-5161 | 2007-02-23 |
| 1740881978 | Chastity Tillman | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-11-04 |
| 1255930566 | Stephanie Cordon-morales | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-10-19 |
| 1477160711 | Rossmery Salgado | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-30 |
| 1134733306 | Monica Alcaraz | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-03 |
| 1073124830 | Tanesha Gordon | Rehabilitation Practitioner | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-08-13 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
Please comment or provide details below to improve the information on MR. LANCE S. MOORE.
| 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.