| Trenton E Moyer Md Apc | |
|
3252 Holiday Ct 102 La Jolla CA 92037-0027 | |
| (858) 457-1399 | |
| Not Available |
| Full Name | Trenton E Moyer Md Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3252 Holiday Ct, La Jolla, California |
| Authorized Official Name and Position | Trenton Moyer (PRESIDENT) |
| Authorized Official Contact | 8584571399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trenton E Moyer Md Apc 3252 Holiday Ct 102 La Jolla CA 92037-0027 Ph: (858) 457-1399 | Trenton E Moyer Md Apc 3252 Holiday Ct 102 La Jolla CA 92037-0027 Ph: (858) 457-1399 |
| NPI Number | 1750316683 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 03/04/2011 |
| Medicare PECOS PAC ID | 6305022526 |
|---|---|
| Medicare Enrollment ID | O20110523000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750316683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A78165 (California) | Primary |
| Provider Name | Trenton E Moyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437180791 PECOS PAC ID: 1557346186 Enrollment ID: I20040618001375 |
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