Moore, Darryl Kenneth

Moore, Darryl Kenneth is an individual health care provider with primary practice located at 3110 Camino Del Rio S Ste 220 , San Diego CA 92108. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Moore, Darryl Kenneth can be contacted via phone (858) 433-8751.

Contact Information

Primary practice address
3110 Camino Del Rio S Ste 220 San Diego CA 92108
Phone: (858) 433-8751
Fax: (858) 433-0118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY22459 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY22459 California

Profile Details

NPI number 1861595423
LBN Legal business name Moore, Darryl Kenneth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Sep 27th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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