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Individual

DR. JOHN ROGER MOELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3250 LOMITA BLVD, # 204, TORRANCE, CA 90505-5007
(310) 539-1022
(310) 539-0736
Mailing address
3250 LOMITA BLVD, # 204, TORRANCE, CA 90505-5007
(310) 539-1022
(310) 539-0736

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C32224
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C322240
BLUE SHIELD
01
13037
COLLEGE HEALTH I PA
01
2343182
AETNA
01
50071
US BEHAVIORAL HEALTH
01
952905594
BLUE CROSS
01
A174012
VALUE OPTIONS
01
M0E1
TORRANCE HOSPITAL I PA
01
N02712
REGENCE BLUE SHIELD
Enumeration date
01/30/2007
Last updated
07/08/2007
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