Dr Melvin Medero Moore Jr, PHD - Psychologist in Carson, CA

Dr Melvin Medero Moore Jr, PHD is a Psychologist - Clinical based in Carson, California. Dr Melvin Medero Moore Jr is licensed to practice in California (license number PSY11086) and his current practice location is 17649 Crabapple Way, Carson, California. He can be reached at his office (for appointments etc.) via phone at (310) 632-9168.

NPI number for Dr Melvin Medero Moore Jr is 1659495240 and his current mailing address is 17649 Crabapple Way, Carson, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659495240.

Contact Information

Dr Melvin Medero Moore Jr, PHD
17649 Crabapple Way,
Carson, CA 90746-7461
(310) 632-9168
(310) 342-3955



Healthcare Provider's Profile

Full NameDr Melvin Medero Moore Jr
GenderMale
SpecialityPsychologist - Clinical
Location17649 Crabapple Way, Carson, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659495240
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 04/05/2013

Medical Identifiers

Medical identifiers for Dr Melvin Medero Moore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659495240NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY11086 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Melvin Medero Moore Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Melvin Medero Moore Jr, PHD
17649 Crabapple Way,
Carson, CA 90746-7461

Ph: (310) 632-9168
Dr Melvin Medero Moore Jr, PHD
17649 Crabapple Way,
Carson, CA 90746-7461

Ph: (310) 632-9168

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› Verified 5 days ago


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