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KOLESTA L MOORE
NPI 1821961194
Rehabilitation Practitioner in Los Angeles, CA

Active since September 24, 2025
4601 S BROADWAY STE C, LOS ANGELES, CA 90037(213) 440-7448 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kolesta L Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOLESTA L MOORE (NPI 1821961194) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1821961194
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameKOLESTA L MOORE
Location Address4601 S BROADWAY STE CLos Angeles, CA 90037-2729
Mailing Address470 E 3rd St Ste CLos Angeles, CA 90013-1630 · (213) 620-5712
Phone(213) 440-7448
Sole ProprietorNo
Enumeration DateSeptember 24, 2025
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1821961194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4601 S BROADWAY STE C, Los Angeles, CA 90037
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kolesta Moore's NPI number?

The NPI number for Kolesta Moore is 1821961194. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Kolesta Moore located?

Kolesta Moore practices at 4601 S Broadway Ste C, Los Angeles, CA 90037. The listed phone number is (213) 440-7448.

What is Kolesta Moore's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Kolesta Moore was last updated on October 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.