Dr. Shannon Yvette Moore
Critical Care Medicine Hospice and Palliative Medicine
4311 3rd Ave
San Diego
, California 92103-1407
Dr. Shannon Yvette Moore
Critical Care Medicine Hospice and Palliative Medicine
4311 3rd Ave
San Diego
, California 92103-1407
(619) 278-6533
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About
Features
Specialties
- Critical Care Medicine
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Shannon Yvette Moore
- 4311 3rd Ave
- San Diego, CA
- Zip : 92103-1407
- Phone : (619) 278-6533
Second Address
- Dr. Shannon Yvette Moore
- 4311 3rd Ave
- San Diego, CA
- Zip : 92103-1407
- Phone : (619) 278-6533
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | MD00038091 | WA |
| Y | 207RH0002X | Hospice and Palliative Medicine | A51421 | CA |
National Provider Identifier
| NPI | 1184715732 |
|---|---|
| Provider Name | Dr. Shannon Yvette Moore |
| First Address | San Diego, CA 92103-1407 |
| Second Address | San Diego, CA 92103-1407 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 21/07/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.