Moorhead, John David

Moorhead, John David 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 / Pediatrics, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Moorhead, John David can be contacted via phone (909) 558-2822.

Contact Information

Primary practice address
11370 Anderson St Suite 2100 Loma Linda CA 92354-3450
Phone: (909) 558-2822
Fax: (909) 558-3905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G31509 California
Allopathic & Osteopathic Physicians / Urology 208800000X G31509 California

Profile Details

NPI number 1760424725
LBN Legal business name Moorhead, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 18 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 1760424725 NPPES
California MEDICAID 00G315090

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