Dr. Thomas R Moore
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
9350 Campus Point Dr 2c
La Jolla
, California 92037
Dr. Thomas R Moore
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
9350 Campus Point Dr 2c
La Jolla
, California 92037
(619) 543-7900
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Dr. Thomas R Moore
- 200 W Arbor Dr Department Of Reproductive Medicine
- San Diego, CA
- Zip : 92103-9000
- Phone : (619) 543-7900
Second Address
- Dr. Thomas R Moore
- 9350 Campus Point Dr 2c
- La Jolla, CA
- Zip : 92037
- Fax : (858) 657-8666
- Phone : (858) 657-8526
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | G49930 | CA |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G49930 | CA |
National Provider Identifier
| NPI | 1184682379 |
|---|---|
| Provider Name | Dr. Thomas R Moore |
| First Address | San Diego, CA 92103-9000 |
| Second Address | La Jolla, CA 92037 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 26/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C46584 | (02) | CA |
| G49930 | MEDICAL LICENSE (01) | CA |
| ZZZP3721Z | (05) | CA |
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.