SearchCalifornia2081S0010X

Tracy Moore

NPI 1497388417 · on the registry since 2020

Practice

Address
1335 Cypress St Ste 100
San Dimas, CA 91773
Phone
(909) 305-1383
Fax
(909) 305-1435
Organisation at this address
California Community Healthcare
California Vascular Center, Inc.
California Vascular & Surgical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
2081S0010X
2081S0010X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-18

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