CURRICULUM VITAE EDWARD A. MOORE, M.D.
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1 CURRICULUM VITAE EDWARD A. MOORE, M.D. MOORE, EDWARD ANTHONY CONTACT INFORMATION: ADDRESS: OFFICE (LAACC) Department of Veterans Affairs VHA Greater Los Angeles Healthcare System Los Angeles Ambulatory Care Center 351 East Temple Street Unit 11-C, Room B143 Los Angeles, CA PHONE: Office (LAACC / Voice): x 4258 Office (LAACC / Fax): Pager / Voice Mail: WEBSITE: e.mooremd@gmail.com EDUCATION: High School: Undergraduate Training: Graduate Training: Postgraduate Training: Morton Township High School 350 N Illinois Ave Morton, Illinois, 61550; Northern Illinois University PO Box 3001 Dekalb, Illinois, 60115; Bachelor of Science (Biology) with University Honors Southern Illinois University School of Medicine 801 N. Rutledge Street Springfield, Illinois, 62702; Doctor of Medicine University of California (Irvine) UCIMC, 101 The City Drive South, Orange, California, Memorial Medical Center of Long Beach, Long Beach, California V. A. Medical Center of Long Beach, Long Beach, California Anatomic and Clinical Pathology, Resident I-II: Chief Resident: Resident IV: University of Southern California USC+LAC Medical Center 2020 Zonal Avenue, Los Angeles, California, VA Greater Los Angeles Healthcare System Los Angeles Ambulatory Care Clinic - 1 -
2 MOORE, EDWARD ANTHONY 351 E. Temple Street, Los Angeles, California, Special Clinic/Substance Abuse, 5 months Psychiatry, Resident I-IV CERTIFICATIONS AND LICENSES: NPI: UPIN: A27904 Licensed Physician and Surgeon, State of California Federal Licensing Exam, Los Angeles, California, June 1980 Certificate # A035781, Expires 9/30/2015 Licensed Physician and Surgeon, State of Nebraska By Reciprocity License # 16457, Expires 10/2014 Diplomat American Board of Psychiatry and Neurology Board Certification Certificate # 58068, Issued 01/20/2008, Expires 01/20/2018 American Society of Addiction Medicine Certification Certification #004913, Issued 11/18/2000, Expires 01/2020 American Board of Addiction Medicine Certificate #00581, Issued 12/11/2010, Expires 12/11/2020 Controlled Substances Registration Drug Enforcement Administration, US Department of Justice Registration # AM , Expires 1/31/2016 Buprenorphine Waiver #XM , issued 08/2004 ACLS Provider Exp 03/2016 Instructor Credential, California Community Colleges Health and Physical Care Services and Related Technologies License # 99M00 001; Issued June, 1980; Expires Life Certified Medical Review Officer MROCC Certification # , Expired 11/2004 X-ray Supervisor and Operator, State of California By Special Examination, Los Angeles, California, July 1988 License # RHC PROFESSIONAL / ACADEMIC APPOINTMENTS: Service Chief for Inpatient Psychiatric Services Tarzana Treatment Center Oxnard Street Tarzana, CA 91356; 09/10 - Current - 2 -
3 MOORE, EDWARD ANTHONY Clinical Assistant Professor of Psychiatry and Behavioral Sciences Keck School of Medicine, University of Southern California 1975 Zonal Avenue Los Angeles, California, 90033: 02/12 - Current Clinical Assistant Professor of Psychiatry and Behavioral Sciences Volunteer Faculty Member, I.D. #07535 Keck School of Medicine, University of Southern California 1975 Zonal Avenue Los Angeles, California, 90033: 11/05-02/12 Medical Director Opiate Treatment and Addictive Behaviors Program, September Current Attending Psychiatrist Veterans Administration Greater Los Angeles Ambulatory Care Clinic 351 E. Temple Street Los Angeles, California, 90012; 09/ Current Active Staff VA West Los Angeles Health Care Center Building 500, Room 6242 Credentialing (00QM C+P) Wilshire Boulevard Los Angeles, California, 90037; 09/2005 Current Opiate Committee Member CSAM Summer 2008 to Current Provisional Staff Glendale Memorial Hospital 1420 S. Central Avenue Glendale, California, 91204; 04/06 01/09 Diversion Evaluation Committee Member Physician Diversion Program Medical Board of California 1420 Howe Avenue, Suite 14 Sacramento, California, 95825; 04/06-07/08 Acting Medical Director of Chemistry Creighton University / Saint Joseph Hospital 601 N 30h St, Omaha, NE Omaha, Nebraska; Instructor Creighton University, Department of Pathology 2500 California Plaza Omaha, NE Omaha, Nebraska; Active Staff Saint Joseph Hospital 601 N 30h St, Omaha, NE Omaha, Nebraska;
4 MOORE, EDWARD ANTHONY Instructor Orange Coast College, Department of Consumer Health Sciences 2701 Fairview Rd, Costa Mesa, CA 92626; Courses: DMS 260/265 (Pathophysiology I/II) BIO 224 (Histology) 1981 EDT 185 (Cardiac Pathophysiology) 1982 RAD-T (Tumor Pathology) 1982 PROFESSIONAL ORGANIZATIONS California Society of Addiction Medicine American Society of Addiction Medicine American Psychiatric Association (#307862) Southern California Psychiatric Association PUBLICATIONS PROJECTS AWARDS Mark A. Rettenmaier, M.D.; Edward A. Moore, M.D.; Micheal L. Berman, M.D.; Joan A. Stratton, Ph.D.; Philip J. Disia, M.D.; A MURINE MODEL OF SQUAMOUS INTRAEPITHELIAL NEOPLASIA, J. Clinical Laboratory Immunology, Edward A. Moore, M.D.; Francisco Velarde, M.D.; RELAXATION TRAINING, VOLUME 1 (20 minute CBT video with breathing training and guided imagery in a full multimedia DVD format) USC Department of Psychiatry, 2004 Certificate of Appreciation Speaker, 20th Annual Recovery Month Celebration San Fernando Valley Rally for Recovery Sept 14, 2009 COMMUNITY SERVICE Board Member (Board Secretary) Being Alive San Diego San Diego, California; Board Member Medical Advisory Board, Medical Assisting Program Platt College San Diego, California; EMPLOYMENT (Chronological) Acting Medical Director of Chemistry, Creighton University / Saint Joseph Hospital 601 North 30th Street Omaha, Nebraska, 68131; Physician, Family Practice, Solo, Alder Medical Clinic - 4 -
5 Alder Street Bloomington, California, 92316; May 1985 MOORE, EDWARD ANTHONY Physician, Hyland Therapeutics Plasmapheresis Center San Bernardino, California, 92410; Jan 1987 Oct 1987 Physician, Family Practice, Independent Contractor S. Loop Boulevard California City, California, 93505; Jan 1988 March 1989 Physician, Family Practice, Solo S. Loop Boulevard California City, California, 93505; Aug 1988 Feb 1989 Medical Director, Mid-City Regional Recovery Center Episcopal Community Services 4305 University Ave San Diego, California, 92105; July 1998 Medical Director, San Diego Health Alliance, Chemical Dependency San Diego, California, Nov 1989 Dec 1999 Course Facilitator American Society of Addiction Medicine / California Society of Addiction Medicine Buprenorphine and Office Treatment of Opioid Dependence Anaheim, California February 26, 2005 January 8, 2006 December 2, 2006 January 13, 2007 Psychiatrist Simi Oaks Day Treatment Program Simi Oaks, CA April April 2012 Psychiatrist, LAC+USC Medical Center Psychiatric Emergency Room 1200 N. State Street Los Angeles, CA 90033; Nov 2002 Feb 2012 ************************* CURRENT ************************* Clinical Assistant Professor of Psychiatry and Behavioral Sciences University of Southern California 1975 Zonal Avenue Los Angeles, California, 90033: 02/12 - Current Attending Psychiatrist, LAC+USC Medical Center Psychiatric Emergency Room 1983 Marengo Street Los Angeles, CA 90033; Feb 2012 Current Medical Director Substance Use Disorders Clinic Veterans Administration Greater Los Angeles Ambulatory Care Clinic - 5 -
6 351 E. Temple Street Los Angeles, CA 90012, Sept 2005 Current MOORE, EDWARD ANTHONY Service Chief for Inpatient Psychiatric Services, Addictionologist and Psychiatrist Tarzana Treatment Center Oxnard Street Tarzana, CA 91356, June 2006 Current October Current Staff Psychiatrist Prototypes 2555 E. Colorado Boulevard, Suite 100 Pasadena, CA 91107, July 2008 Current Medical Director, San Diego Reference Laboratory 6122 Nancy Ridge Drive San Diego, CA 92121; June 1990 April 2007, Sept Current Private Practice, Psychiatry and Addiction 9171 Wilshire Boulevard, Suite 615 Beverly Hills, CA 90210, June 2005 Current - 6 -
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