Individual
BERNA B MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10820 N TORREY PINES RD, LA JOLLA, CA 92037-1036
(858) 554-8645
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8645
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15760
CA
Other
Enumeration date
11/01/2006
Last updated
03/07/2023
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