Provider Demographics
NPI:1033139001
Name:MOORE, HUGH CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:CHRISTOPHER
Last Name:MOORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 SUNNYCREST DR STE 3800
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3647
Mailing Address - Country:US
Mailing Address - Phone:714-447-4100
Mailing Address - Fax:714-447-1923
Practice Address - Street 1:1950 SUNNYCREST DR STE 3800
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3647
Practice Address - Country:US
Practice Address - Phone:714-447-4100
Practice Address - Fax:714-447-1923
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51590174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
040006425OtherRAIL ROAD MEDICARE
040006425OtherRAIL ROAD MEDICARE
CAW12040Medicare ID - Type Unspecified