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
Phone: (415) 353-2008
Fax: (415) 353-2334
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518995935 | NPPES |
| California | MEDICAID | 00G651610 |
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