Prenisha Moore Angelic Moore
Prenisha Moore Angelic Moore is a Prosthetic/Orthotic Supplier in South Gate, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
5222 Pendleton Ave Apt 14South Gate, CA 90280-8537
Phone: (323) 861-4158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X (CA) |
|---|---|
| Prosthetic/Orthotic Supplier | Taxonomy 335E00000X (CA) |
Record details
| NPI number | 1942193180 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2025 |
| Last updated in NPPES | May 29, 2025 |
| Certification date | May 29, 2025 |