Moore, Thomas R

Moore, Thomas R is an individual health care provider with primary practice located at 9350 Campus Point Dr 2C, La Jolla CA 92037. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Moore, Thomas R can be contacted via phone (858) 657-8526.

Contact Information

Primary practice address
9350 Campus Point Dr 2C La Jolla CA 92037
Phone: (858) 657-8526
Fax: (858) 657-8666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G49930 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G49930 California

Profile Details

NPI number 1184682379
LBN Legal business name Moore, Thomas R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184682379 NPPES
California MEDICAID ZZZP3721Z
California Other G49930

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