Provider Demographics
NPI:1568544849
Name:MOEBIUS, MARY MARGARET (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:MARGARET
Last Name:MOEBIUS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:18226 VENTURA BLVD
Mailing Address - Street 2:#210
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-5228
Mailing Address - Country:US
Mailing Address - Phone:818-776-8705
Mailing Address - Fax:818-776-1694
Practice Address - Street 1:18226 VENTURA BLVD
Practice Address - Street 2:#210
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-5228
Practice Address - Country:US
Practice Address - Phone:818-776-8705
Practice Address - Fax:818-776-1694
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA438292084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry