IndividualActive
Brian Moore, MD
NPI 1831144005 · Vascular & Interventional Radiology Physician · La Mesa, CA
Provider details
- NPI number
- 1831144005
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G683360 (CA)
Practice location
5555 Grossmont Center Dr
La Mesa, CA 91942-3019
Phone: (619) 740-4000
Fax: (619) 740-4207
Mailing address
7777 Alvarado Rd
La Mesa, CA 91942
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2019-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.