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

Marlyn Joanna Moore, MD

Individual provider Dermatology Physician · NPI 1821551060

Marlyn Joanna Moore, MD is a Dermatology Physician in San Diego, California. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 01084247A (IN)
Dermatology Physician Taxonomy 207N00000X · Licence 01084147A (IN)

Record details

NPI number1821551060
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026

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