Dominic J. Moore

Peer Specialist · Indio, CA

Individual Active NPI

NPI number 1912669847

Practice location

44199 Monroe St
Indio, CA 92201-3096
Phone
(760) 863-8341

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NPI record

NPI
1912669847
Entity type
Individual (Type 1)
Enumeration date
October 7, 2021
Last updated
May 10, 2023
Certified
May 10, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X GKJBRVZWLCYMONP CA

About Dominic Moore

Dominic J. Moore is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 44199 Monroe St, Indio, CA 92201-3096. The NPI number 1912669847 was assigned on October 7, 2021 and the record was last updated on May 10, 2023.

Dominic Moore lists a license in the registry: #GKJBRVZWLCYMONP (CA) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dominic J. Moore?

The NPI number is 1912669847.

What is the phone number of Dominic Moore?

The phone number listed for the practice location is (760) 863-8341.

Where is Dominic Moore located?

44199 Monroe St, Indio, CA 92201-3096.

What is the taxonomy code for Dominic Moore?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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