MARY E. MOORE M.D. – NPI #1396994182
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

MARY MOORE is a psychiatry & neurologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1396994182 to MARY MOORE on September 16, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 2 years ago on Dec 29, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY MOORE below.

NPI Profile for
MARY E. MOORE

NPI Number
1396994182
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY E. MOORE
Credentials
M.D.
Primary location
1920 MARENGO ST
LOS ANGELES, CA 90033
Phone: (323) 276-6400 Fax: (323) 276-6499
2 Other location(s):
4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone: (559) 512-8700
Fax: (559) 512-8705
265 S Anita Dr Ste 102-104
Orange, CA 92868-3355
Phone: (714) 410-3500
Fax: (714) 410-3526
Mailing address
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone: (310) 945-3350 Fax: (310) 945-3355
Sole Proprietor
No
Updated
Certification Date
Dec 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)
CA A111197
2084P0800X
- Psychiatry & Neurology / Psychiatry
CA A111197

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.