| Mithra Moon, PA | |
|
1600 Vine St Apt 543, Hollywood, CA 90028-8825 | |
| (240) 778-8493 | |
| Not Available |
| Full Name | Mithra Moon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1600 Vine St Apt 543, Hollywood, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023587839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 56157 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mithra Moon, PA 1600 Vine St Apt 543, Hollywood, CA 90028-8825 Ph: (240) 778-8493 | Mithra Moon, PA 1600 Vine St Apt 543, Hollywood, CA 90028-8825 Ph: (240) 778-8493 |
Mr. Maurice Anthony Adkins, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 6430 Selma Ave, Hollywood, CA 90028 Phone: 323-848-4522 | |
Alexis Nixon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6245 De Longpre Ave, 206, Hollywood, CA 90028 Phone: 323-785-1223 Fax: 323-785-1282 | |
Ms. Mary Hannah Veal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6430 Selma Ave, Hollywood, CA 90028 Phone: 323-848-4522 | |
Lara Conovaloff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6430 Selma Ave, Hollywood, CA 90028 Phone: 323-848-4522 |