Individual
DR. ERIC MARTIN MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 N BRENT SREET, VENTURA, CA 93003
(805) 652-5011
(805) 585-3007
Mailing address
PO BOX 920125, DALLAS, TX 75392-0125
(877) 346-2211
(407) 324-4727
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G68497
CA
207P00000X
Emergency Medicine Physician
Primary
G68497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050394
BLUE CROSS
CA
01
—
G68497
LICENSE NUMBER
CA
05
—
HSC30394F
—
CA
05
—
ZZT40394F
—
CA
01
—
ZZZ53994Z
BLUE SHIELD
CA
01
—
ZZZA56032
BLUE SHIELD
CA
Enumeration date
10/02/2006
Last updated
07/16/2026
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