Search › California › 106H00000X
Samuel Moore, M.S
NPI 1447600085 · on the registry since 2016
Practice
- Address
- 10776 Fremont St
Yucaipa, CA 92399 - Phone
- (909) 797-0114
- Fax
- (909) 790-2148
- Organisation at this address
- Trinity Youth Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California