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

Ethel Fay Moore, CPRP

Individual provider Case Manager/Care Coordinator · NPI 1104944792

Ethel Fay Moore, CPRP is a Case Manager/Care Coordinator in Lancaster, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

43423 Division St Ste 107
Lancaster, CA 93535-4640
Phone: (661) 726-2850
Fax: (661) 726-2854
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence NA (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence NA (CA)

Record details

NPI number1104944792
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPRP
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESSeptember 11, 2025

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