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

Omega Moore, MEDICALASSISTANT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1891318911

Omega Moore, MEDICALASSISTANT is an Addiction (Substance Use Disorder) Counselor in Hawthorne, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

12917 Cerise Ave
Hawthorne, CA 90250-5520
Phone: (310) 675-1949
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1891318911
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDICALASSISTANT
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020

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