Individual
CATHERINE DIANNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
591 CAMINO DE LA REINA, SUITE #820, SAN DIEGO, CA 92108
(619) 286-1010
(619) 298-9129
Mailing address
591 CAMINO DE LA REINA, SUITE #820, SAN DIEGO, CA 92108
(619) 286-1010
(619) 298-9129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C40947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C409470
—
CA
01
—
C40947
LICENSE
CA
Enumeration date
09/29/2006
Last updated
03/07/2023
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