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

Jason Moore

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1679400899

Jason Moore is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4061 Karelia St
Los Angeles, CA 90065-3307
Phone: (323) 309-9919
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 51739 (CA)

Record details

NPI number1679400899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

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