DR. EDWARD ANTHONY MOORE (NPI# 1730269945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730269945 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ANTHONY MOORE |
| Credential | M.D. |
| Practice Address |
9171 Wilshire Blvd Suite 615 Beverly Hills CA 90210-5530 |
| Practice Telephone | 3105505810 |
| Practice Fax Number | 3105505811 |
| Mailing Telephone | 3105505810 |
| Mailing Fax Number | 3105505811 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A35781 | CA | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
A35781 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194877019 | Edward L. Moore | Dentist | 533 Ripley Road, Spencer, WV 25276 | 2007-01-18 |
| 1578527263 | Edward N Moore | Internal Medicine | 520 Mary St., Suite 230, Evansville, IN 47710-1678 | 2006-04-12 |
| 1578803649 | Edward B Moore Jr. | Internal Medicine | 4190 City Ave, Philadelphia, PA 19131-1626 | 2013-02-26 |
| 1407176803 | Edward Moore | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2010-06-08 |
| 1861510463 | Edward L. Moore | Nurse Anesthetist, Certified Registered | 206 Fairfield Ct, Dublin, GA 31021-3885 | 2007-03-26 |
| 1508943127 | Edward M Moore IIi | Dentist | 1100 E Southlake Blvd, Suite 400, Southlake, TX 76092-6357 | 2006-11-01 |
| 1013009216 | Edward M Moore | Psychiatry & Neurology | 561 Fairthorne Ave, Philadelphia, PA 19128-2412 | 2006-09-28 |
| 1184671158 | Edward E Moore | Obstetrics & Gynecology | 1410 Blanding St, Suite 205, Columbia, SC 29201 | 2006-05-27 |
| Street Address |
9171 WILSHIRE BLVD SUITE 615 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90210-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578557062 | Louis Monaco | Psychologist | 9171 Wilshire Blvd, #600, Beverly Hills, CA 90210-5530 | 2005-09-12 |
| 1831749746 | Prostar Speech Therapy | Physical Therapist | 9171 Wilshire Blvd, Beverly Hills, CA 90210-5530 | 2019-09-13 |
| 1043869274 | Prostar Speech Therapy | Physical Therapist | 9171 Wilshire Blvd, Beverly Hills, CA 90210-5530 | 2019-09-10 |
| 1831647742 | Taryn Mead | Marriage & Family Therapist | 9171 Wilshire Blvd, Suite 600, Beverly Hills, CA 90210-5530 | 2016-09-20 |
| 1659724110 | Hanna Ketai | Marriage & Family Therapist | 9171 Wilshire Blvd, Suite 680, Beverly Hills, CA 90210-5530 | 2016-07-20 |
| 1578929303 | Rebecca Robinson | Marriage & Family Therapist | 9171 Wilshire Blvd, Suite 680, Beverly Hills, CA 90210-5530 | 2016-01-09 |
| 1528423001 | Lisa Crilley | Marriage & Family Therapist | 9171 Wilshire Blvd, Suite 670, Beverly Hills, CA 90210-5530 | 2015-12-28 |
| 1720450430 | Terri Lynn Barach | Marriage & Family Therapist | 9171 Wilshire Blvd, Penthouse, Beverly Hills, CA 90210-5530 | 2015-10-21 |
| 1780055665 | Helaine Ross | Marriage & Family Therapist | 9171 Wilshire Blvd, Penthouse 8, Beverly Hills, CA 90210-5530 | 2015-10-16 |
| 1902274228 | Chanda Lam | Marriage & Family Therapist | 9171 Wilshire Blvd, Penthouse, Beverly Hills, CA 90210-5530 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643786 | Diane Garcia | Social Worker | 436 N. Roxbury Drive, Suite 218, Beverly Hills, CA 90210 | 2020-09-11 |
| 1043834765 | Sheryl Kipper Weissberg | Marriage & Family Therapist | 9171 Wilshire Boulevard, Penthouse, Beverly Hills, CA 90210 | 2020-05-29 |
| 1093373912 | Jill Daloria | Speech-Language Pathologist | 201 N Crescent Drive, Beverly Hills, CA 90210 | 2019-06-05 |
| 1902363203 | Barry J Brock Md Inc. | Obstetrics & Gynecology | 421 N Rodeo Drive, Penthouse 1, Beverly Hills, CA 90210 | 2019-02-23 |
| 1861983884 | Beverly Hills Hair Free Corp | Contractor | 9301 Wilshire Blvd #310, Beverly Hills, CA 90210 | 2018-05-24 |
| 1245745389 | Richard L Gilbert | Marriage & Family Therapist | 301 North Bedford Drive Suite 401, Beverly Hills, CA 90210 | 2017-12-12 |
| 1588180970 | Richard Paul Braun IIi | Chiropractor | 9601 Wilshire Blvd., Within Equinox Spa, Beverly Hills, CA 90210 | 2017-08-17 |
| 1538683677 | Bh Therapy Corp. | Psychologist | 9107 Wilshire Blvd Suite 200, Beverly Hills, CA 90210 | 2017-07-31 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1104287077 | Eva Silegy | Nurse Anesthetist, Certified Registered | 465 N. Roxbury Drive, Beverly Hills, CA 90210 | 2016-03-18 |
| Find all providers in zip 90210 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740698521 | Linden Physicians Group, LLC | Psychiatry & Neurology | 9730 Wilshire Blvd, Suite 109, Beverly Hills, CA 90212-2022 | 2014-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184111494 | Lags Spine and Sportscare Medical Centers, Inc. | Psychiatry & Neurology | 1223 Higuera St Ste 101, San Luis Obispo, CA 93401-3167 | 2018-04-23 |
| 1053808899 | Klc Consultants, PC | Psychiatry & Neurology | 1808 Verdugo Blvd Ste 319, Glendale, CA 91208-1486 | 2018-04-17 |
| 1780196733 | Acceptance Detox LLC | Psychiatry & Neurology | 18779 Palm St, Fountain Valley, CA 92708-6428 | 2017-10-31 |
| 1952824021 | Novation Behavioral Health, LLC | Psychiatry & Neurology | 1707 E Bay Ave, Newport Beach, CA 92661-1453 | 2017-07-20 |
| 1912362567 | Sanjoy Sathpathy, M.d. Inc | Psychiatry & Neurology | 9888 Carroll Center Road, 218, San Diego, CA 92126-4515 | 2015-12-28 |
| 1043562630 | San Diego Professional Group, P. C. | Psychiatry & Neurology | 41655 Date St, Suite 101a, Murrieta, CA 92562-7040 | 2012-10-08 |
| 1841591690 | David E. Brody | Psychiatry & Neurology | 13200 South Bloomfield Ave, Norwalk, CA 90650 | 2010-11-10 |
| 1124342647 | Vicki Kalira | Psychiatry & Neurology | 150 Muir Rd Bldg 24, Martinez, CA 94553-4668 | 2010-03-26 |
| 1710127964 | Pacific Composure Psychiatry & Hypnotherapy | Psychiatry & Neurology | 180 7th Ave Ste 103, Santa Cruz, CA 95062-4732 | 2009-02-28 |
| 1235341330 | Timmen Cermak | Psychiatry & Neurology | 239 Miller Avenue, Suite #1, Mill Valley, CA 94941 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90210 |
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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.