Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Damian Darryl Moore, LPT

Individual provider Licensed Psychiatric Technician · NPI 1992442552

Damian Darryl Moore, LPT is a Licensed Psychiatric Technician in San Bernardino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1481 Windsor Dr
San Bernardino, CA 92404-5416
Phone: (909) 361-6470
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 42031 (CA)

Record details

NPI number1992442552
Entity typeIndividual (Type 1)
GenderMale
Credentials LPT
Sole proprietorYes
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022
Mailing address5604 N E St, San Bernardino, CA 92407-2626

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