Matthew Zeno Moon
Individual provider Active NPI Marriage & Family Therapist · Hollywood, CA
NPI 1326578378 · NPPES record last updated Jun 22, 2018
Key facts
- NPI
- 1326578378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 6838 W Sunset Blvd
Hollywood, CA 90028 - Phone
- (323) 461-3161
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 23, 2026 through Mar 23, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
6838 W Sunset Blvd
Hollywood, CA 90028
Mailing address
6838 W Sunset Blvd
Hollywood, CA 90028-7008
Other providers in Hollywood, CA
- Bonnie W Meyerson
- Michael R Mollura PH.D. Psychologist Inc., a Professional Corporation
- Mind and Body Healing
- Mission City Community Network, Inc.
- Michael Robert Mollura
- Mithra Moon
- Patrick L Mullens
- Sarah Catherine Neal
- Lori Netzen
- Alexis Nixon
All providers in Hollywood, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.