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

Lisa Moore

Individual provider Family Medicine Physician · NPI 1063827343

Lisa Moore is a Family Practice in Culver City, California. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2014, 12 years ago. Practices with Venice Family Clinic, a 102-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

4700 Inglewood Blvd
Culver City, CA 90230-5896
Phone: (310) 392-8636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A173679 (CA)

Record details

NPI number1063827343
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022
Mailing address2050 Pfingsten Rd, Glenview, IL 60026-1324

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Venice Family Clinic — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Culver City