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Brian S Moore, MD
Vascular & Interventional Radiology Physician in La Mesa, California
NPI 1831144005

Brian S Moore is a Vascular & Interventional Radiology Physician based in La Mesa, CA and is specialized in Vascular & Interventional Radiology. Brian S Moore practices in La Mesa, CA and has the professional credentials of MD. The NPI Number for Brian S Moore is 1831144005 and holds a License No. G683360 (California).

The current practice location address for Brian S Moore is 5555 Grossmont Center Dr, La Mesa, CA and can be reached out via phone at 619-740-4000 and via fax at 619-740-4207.

Location: 5555 Grossmont Center Dr, La Mesa, CA, 91942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831144005
Provider Name
Brian S Moore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5555 Grossmont Center Dr, La Mesa, CA, 91942
Phone Number
619-740-4000
Fax Number
619-740-4207
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G683360 05 CA
00G683360 01 CA BLUE SHIELD PIN
10963841 01 CAQH
institution
Provider Business Practice Location Address Details
Address
5555 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3019
Phone Number
619-740-4000
Fax Number
619-740-4207
person
Provider Business Mailing Address Details
Address
5555 Grossmont Center Dr
City
La Mesa
State
California
Zip
91942-3019
Phone Number
619-740-4000
Fax Number
619-740-4207
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G68336 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
G683360 (California)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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