Individual
DR. ELIOT MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
940 AVENUE 64, PASADENA, CA 91105
(323) 254-2274
(323) 254-9087
Mailing address
940 AVENUE 64, PASADENA, CA 91105
(323) 254-2274
(323) 254-9087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
G79762
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G79762
CA
Other
Enumeration date
12/22/2006
Last updated
07/25/2013
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