DEREK SUSUMU MORIYAMA

LOS ANGELES, CA
NPI1851747901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: CA  A168883)
Enumeration Date2016-05-08
Last Update Date2023-11-27
Business Address
DEREK SUSUMU MORIYAMA
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033-5312
Phone number: 323-442-5100
Mailing Address
DEREK SUSUMU MORIYAMA
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5100