DR. MARY ELIZABETH MOORE M.D.
NPI 1396994182
Psychiatry & Neurology - Child & Adolescent Psychiatry in Los Angeles, CA

Active since September 16, 2008
1920 MARENGO ST, LOS ANGELES, CA 90033(323) 276-6400(323) 276-6499 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Elizabeth Moore M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ELIZABETH MOORE M.D. (NPI 1396994182) is an individual child & adolescent psychiatry provider in Los Angeles, California, licensed in California (A111197) and active in the NPI registry since September 2008. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396994182
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MARY ELIZABETH MOORECredential: M.D.
Location Address1920 MARENGO STLos Angeles, CA 90033
Mailing Address9808 Venice Blvd Ste 700Culver City, CA 90232-6824 · (310) 945-3350 · Fax (310) 945-3355
Fax(323) 276-6499
Sole ProprietorNo
Enumeration DateSeptember 16, 2008
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
NPI 1396994182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in CA · A111197
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A111197 (CA)
1920 MARENGO ST, Los Angeles, CA 90033

Secondary Practice Locations 2

Location 14411 E Kings Canyon RdFresno, CA 93702-3604 · Phone (559) 512-8700 · Fax (559) 512-8705
Location 2265 S Anita Dr Ste 102-104Orange, CA 92868-3355 · Phone (714) 410-3500 · Fax (714) 410-3526

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1920 MARENGO ST
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1920 MARENGO ST
LOS ANGELES, CA 90033
Social Worker
1920 MARENGO ST
LOS ANGELES, CA 90033
Licensed Vocational Nurse
1920 MARENGO ST
LOS ANGELES, CA 90033
Nurse Practitioner
1920 MARENGO ST
LOS ANGELES, CA 90033
Psychiatry & Neurology (Psychiatry)
1920 MARENGO ST
LOS ANGELES, CA 90033
Social Worker
1920 MARENGO ST
LOS ANGELES, CA 90033
Nurse Practitioner (Psychiatric/Mental Health)
1920 MARENGO ST
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Moore's NPI number?

The NPI number for Mary Moore is 1396994182. It was assigned to this individual provider in the NPPES registry on September 16, 2008.

Where is Mary Moore located?

Mary Moore practices at 1920 Marengo St, Los Angeles, CA 90033. The listed phone number is (323) 276-6400.

What is Mary Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Mary Moore was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.