Madison Moore
Madison Moore is a Physician Assistant in San Diego, California. Licensed in California and Illinois. Registered with an NPI since 2024.
- Licensed in
- CA, IL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
4420 Hotel Circle Ct Ste 200San Diego, CA 92108-3423
Phone: (619) 933-2165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA68382 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 085011506 (IL) |
Record details
| NPI number | 1558119560 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 7, 2024 |
| Last updated in NPPES | May 15, 2026 |
| Certification date | May 15, 2026 |
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