Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chace Donovyne Ikaika Moleta, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508362971

Chace Donovyne Ikaika Moleta, MD is a Student in an Organized Health Care Education/Training Program in LA Jolla, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9500 Gilman Dr
LA Jolla, CA 92093-5004
Phone: (619) 543-8254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence A166812 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508362971
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022

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