Individual
DR. EDWARD ANTHONY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9171 WILSHIRE BLVD, SUITE 615, BEVERLY HILLS, CA 90210-5530
(310) 550-5810
(310) 550-5811
Mailing address
9171 WILSHIRE BLVD, SUITE 615, BEVERLY HILLS, CA 90210-5530
(310) 550-5810
(310) 550-5811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A35781
CA
2084P0802X
Addiction Psychiatry Physician
Primary
A35781
CA
Other
Enumeration date
10/16/2006
Last updated
07/27/2007
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