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NPI Code Detail

MEDICARE: NASIA MOORE

MEDICARE: NASIA MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1962345223
Entity Type Code : Individual
Provider Name (Legal Business Name) : NASIA MOORE
Provider Business Mailing Address
First Line : 77711 FLORA RD STE 327
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 77711 FLORA RD STE 327
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-4103
Country : US
Telephone Number : 800-465-3203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

Similar Medicare Providers

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1891638102 — ELIZABETH GREGORY
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1952402943 — DR. RICHARD SAMUEL SINACOLA PHD
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Directions to “ NASIA MOORE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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