# MARCELLUS H. MOORE, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831242221
- **Authorized official:** MARCELLUS H. MOORE M.D. (PRESIDENT)
- **Authorized official phone:** (213) 427-1148

## Contact information

- **Practice address:** 81225 KINGSTON HEATH, LA QUINTA, CA 92253-8741
- **Practice address phone:** (213) 427-1148
- **Practice address fax:** (213) 427-1149
- **Mailing address:** 81225 KINGSTON HEATH, LA QUINTA, CA 92253-8741
- **Mailing address phone:** (213) 427-1148
- **Mailing address fax:** (213) 427-1149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | C51387 | CA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 08/22/2020