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Search › California › 225400000X

Demi Moore

NPI 1831050186 · on the registry since 2025

Practice

Address
2045 Fairmont Dr
San Leandro, CA 94578
Phone
(510) 667-7540
Organisation at this address
Alameda County
Eden Adult Community Support Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
46

Registry record

Primary taxonomy
225400000X
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-19

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