Individual
DAVID EMMANUEL MOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20103 LAKE CHABOT RD, EMERGENCY DEPT, CASTRO VALLEY, CA 94546-5305
(209) 342-2300
(209) 524-4240
Mailing address
4301 NORTHSTAR WAY, MODESTO, CA 95356-9262
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA11278
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPA112780
—
CA
01
—
OPA112781
BLUE SHIELD
CA
Enumeration date
11/03/2005
Last updated
08/27/2008
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