Moores, Donald

Moores, Donald is an individual health care provider with primary practice located at 11370 Anderson St Suite 2100, Loma Linda CA 92354-3450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Moores, Donald can be contacted via phone (909) 558-2822.

Contact Information

Primary practice address
11370 Anderson St Suite 2100 Loma Linda CA 92354-3450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X G64016 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G64016 California

Profile Details

NPI number 1497783070
LBN Legal business name Moores, Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Mar 30th, 2018 - about 7 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 1497783070 NPPES
California MEDICAID 00G640160

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