Moore, Phillip

Moore, Phillip is an individual health care provider with primary practice located at 400 Parnassus Ave Fl 2 , San Francisco CA 94143-2202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Moore, Phillip can be contacted via phone (415) 353-2008.

Contact Information

Primary practice address
400 Parnassus Ave Fl 2 San Francisco CA 94143-2202
Fax: (415) 353-2334
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G65161 California
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X G65161 California

Profile Details

NPI number 1518995935
LBN Legal business name Moore, Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 31st, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518995935 NPPES
California MEDICAID 00G651610

Popular Providers