Kassahun G Moges
Kassahun G Moges is a Nurse Practitioner in Torrance, California. Qualified in 2024, 2 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
21515 Hawthorne BlvdTorrance, CA 90503-6501
Phone: (626) 776-3022
Fax: (626) 776-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 95035016 (CA) |
|---|
Record details
| NPI number | 1457141764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | May 9, 2025 |
| Last updated in NPPES | February 10, 2026 |
| Certification date | February 10, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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