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

Dr. Theodore Bruce Moore, MD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1710091020

Dr. Theodore Bruce Moore, MD is a Pediatric Hematology & Oncology Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

10833 Le Conte Ave 12-441 Mdcc
Los Angeles, CA 90095-3075
Phone: (310) 825-6708
Fax: (310) 206-8089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence G69308 (CA)

Record details

NPI number1710091020
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESAugust 27, 2012

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