Joseph Lee Moore in San Diego - Sports Medicine
Joseph Lee Moore - NPI 1417936295
Joseph Lee Moore is a Sports Medicine in San Diego, California. Joseph Lee Moore practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Joseph Lee Moore is 1417936295. The last update date is 2017-03-30.
Joseph Lee Moore's current location address is 975 Garnet Ave, San Diego, California. You can contact this provider via phone number 8582307770 and fax number 8582307790. The mailing address for Joseph Lee Moore is 975 Garnet Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Lee Moore |
|---|---|
| Address | 975 Garnet Ave, San Diego, California |
| Phone Number | 8582307770 |
| Fax Number | 8582307790 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1417936295 |
|---|---|
| Provider Enumeration Date | 2006-01-11 |
| Last Updated Date | 2017-03-30 |
Provider Mailing Address Detail
| Address | 975 Garnet Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921092729 |
| Phone Number | 8582307770 |
| Fax Number | 8582307790 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | G56323 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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What is the unique identifier code issued to Joseph Lee Moore by the Centers for Medicare & Medicaid Services?
The Joseph Lee Moore has been assigned the NPI (National Provider Identifier) 1417936295. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Joseph Lee Moore is located?
The Joseph Lee Moore is situated at the following address: 975 Garnet Ave, San Diego, CA, 921092729.
What is Joseph Lee Moore's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joseph Lee Moore is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qs0010X.
On what date did the Joseph Lee Moore receive its 1417936295 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Lee Moore was assigned its 1417936295 by the Centers for Medicare & Medicaid Services on 2006-01-11.
When was the information regarding Joseph Lee Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joseph Lee Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-03-30.
NPI Number: 1215930425
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