Provider Demographics
NPI:1073548897
Name:SZILAGYI, MOIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:MOIRA
Middle Name:
Last Name:SZILAGYI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 UCLA MEDICAL PLAZA
Mailing Address - Street 2:ROOM 3334
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095
Mailing Address - Country:US
Mailing Address - Phone:310-794-5361
Mailing Address - Fax:
Practice Address - Street 1:OLIVE VIEW-UCLA MEDICAL CENTER
Practice Address - Street 2:14445 OLIVE VIEW DRIVE HUB CLINIC 4C124
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342
Practice Address - Country:US
Practice Address - Phone:747-210-4680
Practice Address - Fax:747-210-4682
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC134242208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01224299Medicaid
G26768Medicare UPIN
NY01224299Medicaid