DR. AMANDA JO MOORE (NPI# 1568611358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568611358 |
| Entity Type | Individual |
| Full Name | DR. AMANDA JO MOORE |
| Other Name | AMANDA JO POST |
| Credential | D.O. |
| Practice Address |
1920 Marengo St Exodus Recovery Los Angeles CA 90033 |
| Mailing Address |
9808 Venice Blvd Exodus Recovery Culver City CA 90232 |
| Practice Telephone | 3232766400 |
| Practice Fax Number | 8588220231 |
| Mailing Telephone | 3109453350 |
| Mailing Fax Number | 8588220231 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20A11045 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4411 E Kings Canyon Rd, Fresno, CA 937023604 | 5594531008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566546 | Amanda Faye Moore | Technician | 609 Poplar Ridge Rd, Sutton, WV 26601-3851 | 2020-10-21 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1538654215 | Amanda L Moore | Counselor | 555 Sparkman Dr Nw Ste 1615, Huntsville, AL 35816-3431 | 2018-06-26 |
| 1659756294 | Amanda Moore | Nurse Practitioner | 10443 W Beier Rd, Oak Harbor, OH 43449-9548 | 2015-07-24 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1477811354 | Amanda Moore | Social Worker | 5812 Dinsmore Ln, Belmont, NC 28012-8692 | 2012-04-27 |
| 1033435656 | Amanda Marie Moore | Physician Assistant | 8 N Race St, Georgetown, DE 19947 | 2010-04-08 |
| 1750610812 | Amanda J Moore | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131 | 2009-12-18 |
| 1053597195 | Amanda Moore | Midwife | 1955 Graham Dr, Eugene, OR 97405-1790 | 2008-01-19 |
| 1639366313 | Amanda Kay Moore | Occupational Therapist | 2313 19th Ave, Forest Grove, OR 97116-2421 | 2007-09-26 |
| Street Address |
1920 MARENGO ST EXODUS RECOVERY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730270828 | Parvaneh Afshari | Nurse Practitioner | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2006-09-27 |
| 1982021481 | Courtney Hutton | Social Worker | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2014-03-21 |
| 1427398015 | Brandy Y Leos | Licensed Vocational Nurse | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2013-02-19 |
| 1497009245 | Los Angeles Christian Health Centers | Clinic/Center | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2012-11-01 |
| 1891043949 | Ericka Vanessa Mendoza | Rehabilitation Practitioner | 1920 Marengo St, 2nd Floor, Los Angeles, CA 90033-1317 | 2012-08-21 |
| 1740560754 | Alexis Asher | Marriage & Family Therapist | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2011-08-22 |
| 1568771236 | Exodus Recovery, Inc. | Community/Behavioral Health | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2010-09-29 |
| 1831421387 | Exodus Recovery, Inc. | Community/Behavioral Health | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2010-02-09 |
| 1720316979 | Mengfen Chang Moseley | Nurse Practitioner | 1920 Marengo St, Los Angeles, CA 90033 | 2009-11-30 |
| 1699929679 | Randye Kay | Registered Nurse | 1920 Marengo St, Los Angeles, CA 90033-1317 | 2008-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1881241453 | Bryan Yang Md Inc | Psychiatry & Neurology | 2221 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2117 | 2019-08-19 |
| 1962063859 | Nida Kichkla | Psychiatry & Neurology | 1010 N Avenue 66, Los Angeles, CA 90042-1512 | 2019-06-22 |
| 1669976874 | Pulse Tms, A Medical Corporation | Psychiatry & Neurology | 1663 Sawtelle Blvd Ste 240, Los Angeles, CA 90025-3198 | 2018-03-21 |
| 1376047670 | Sasha Getty | Psychiatry & Neurology | 11301 Wilshire Blvd Rm 6428, Los Angeles, CA 90073-1003 | 2018-03-21 |
| 1972038388 | Eric Michael | Psychiatry & Neurology | 11301 Wilshire Blvd Bldg 401, Los Angeles, CA 90073-1003 | 2017-04-23 |
| 1386175941 | Christopher Junpyo Hong | Psychiatry & Neurology | 2250 Alcazar St # 2200, Los Angeles, CA 90089-2498 | 2017-03-24 |
| 1558892638 | David Zhang | Psychiatry & Neurology | 760 Westwood Plz Ste 17-413, Los Angeles, CA 90024-5055 | 2017-03-21 |
| 1306399951 | Gotham Psychiatric PC | Psychiatry & Neurology | 5419 Hollywood Blvd Ste C172, Los Angeles, CA 90027-3480 | 2016-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.