Kerry F. Moore M.D.

LBN: Kerry F. Moore M.D.
Kerry F. Moore M.D. is an health care organization with primary practice located at 16049 Tuscola Rd Suite B, Apple Valley CA 92307-1319. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Kerry F. Moore M.D. can be contacted via phone (760) 242-4101, or through Moore, Kerry F via phone (760) 242-4101.

Contact Information

Primary practice address
16049 Tuscola Rd Suite B Apple Valley CA 92307-1319
Phone: (760) 242-4101
Fax: (760) 242-8256
Website:
Map and Directions
Authorized official contact:
Name: Moore, Kerry F Doctor of Medicine (MD)
Phone: (760) 242-4101

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X A41582 California

Profile Details

NPI number 1558435263
LBN Legal business name Kerry F. Moore M.D.
DBA Doing business as
Authorized official Moore, Kerry F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558435263 NPPES
California MEDICAID 00A415820

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