MEDICARE: MICHAEL ERHARDT MOELLER ND

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	920	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F7296235	OTHER	CA	DRIVER'S LICENSE

General Provider Information

NPI Number	:	1467963199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ERHARDT MOELLER ND

Provider Business Mailing Address
First Line	:	2292 FARADAY AVE # 78
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-7238
Country	:	US
Telephone Number	:	949-485-4835
Fax Number	:	818-459-3834

Provider Business Practice Location Address
First Line	:	2292 FARADAY AVE # 78
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92008-7238
Country	:	US
Telephone Number	:	949-485-4835
Fax Number	:	818-459-3834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2017
Last Update Date	:	09/18/2023

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