Individual
RICHARD MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CITY BLVD. WEST - SUITE 705, ORANGE, CA 92868-3298
(714) 456-5532
Mailing address
333 CITY BLVD. WEST - SUITE 705, ORANGE, CA 92868-3298
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A123130
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/25/2009
Last updated
01/05/2014
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