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Individual

DR. MARY ELIZABETH MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1920 MARENGO ST, LOS ANGELES, CA 90033
(323) 276-6400
(323) 276-6499
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3355

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A111197
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A111197
CA

Other

Enumeration date
09/16/2008
Last updated
12/29/2023
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