Individual
DR. AMANDA JO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1920 MARENGO ST, EXODUS RECOVERY, LOS ANGELES, CA 90033
(323) 276-6400
(858) 822-0231
Mailing address
9808 VENICE BLVD, EXODUS RECOVERY, CULVER CITY, CA 90232
(310) 945-3350
(858) 822-0231
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11045
CA
Other
Enumeration date
09/16/2008
Last updated
08/17/2021
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