Moore, Richard Jay
Moore, Richard Jay is an sole proprietor health care provider with primary practice located at 63 Bovet Rd # 406, San Mateo CA 94402-3104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Moore, Richard Jay can be contacted via phone (650) 539-4224.Contact Information
Primary practice address
63 Bovet Rd # 406
San Mateo CA 94402-3104
Phone: (650) 539-4224
Fax: (650) 292-2149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G63467 | California |
Profile Details
| NPI number | 1992753040 |
|---|---|
| LBN Legal business name | Moore, Richard Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 14th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992753040 | NPPES |
| California | MEDICAID | OOG63467O |
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