NPI

Breanna Moore

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Individual
Enumeration date
2020-10-01
Last updated
2020-10-01

Specialties

Licenses

License CA
83307

Location

Practice location
12058 Palmdale Rd
City
Adelanto CA
Postal code
92301-6708
Phone
(760) 646-7780

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Adelanto, CA. 133 records in the public file.

Removal request

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