John Moore, PHD

NPI 1487125480 · on the registry since 2018

Practice

Address: 1000 Broadway Ste 460
Oakland, CA 94607
Phone: (510) 506-1719
Fax: (510) 465-5520
Organisation at this address: Kipp Stockton
Cesar Chavez Mtu
Kipp Summit Academy
Kipp Bayview Academy
Kipp King Collegiate
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: 103TC2200X
103TC2200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-12-17

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