MEDICARE: DR. MELANIE MOORE DC

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	111N00000X	Chiropractor	32589	CA

General Provider Information

NPI Number	:	1659714780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELANIE MOORE DC

Provider Business Mailing Address
First Line	:	31225 LA BAYA DR STE 202
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-6315
Country	:	US
Telephone Number	:	818-851-9008
Fax Number	:

Provider Business Practice Location Address
First Line	:	31225 LA BAYA DR STE 202
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91362-6315
Country	:	US
Telephone Number	:	818-851-9008
Fax Number	:

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

Provider Enumeration Date	:	04/08/2013
Last Update Date	:	01/25/2016

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Directions to “ DR. MELANIE MOORE DC” Practice Location

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