Dr Shannon Yvette Moore, MD, MPH - Internal Medicine in San Diego, CA

Dr Shannon Yvette Moore, MD, MPH is a Internal Medicine - Hospice And Palliative Medicine physician based in San Diego, California. Dr Shannon Yvette Moore is licensed to practice in California (license number A51421) and her current practice location is 4311 3rd Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (619) 278-6533.

NPI number for Dr Shannon Yvette Moore is 1184715732 and her current mailing address is 4311 3rd Ave, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184715732.

Contact Information

Dr Shannon Yvette Moore, MD, MPH
4311 3rd Ave,
San Diego, CA 92103-1407
(619) 278-6533
Not Available

Map and Direction




Physician's Profile

Full NameDr Shannon Yvette Moore
GenderFemale
SpecialityInternal Medicine - Hospice And Palliative Medicine
Location4311 3rd Ave, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184715732
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 07/21/2010

Medical Identifiers

Medical identifiers for Dr Shannon Yvette Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184715732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine MD00038091 (Washington)Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine A51421 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shannon Yvette Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shannon Yvette Moore, MD, MPH
4311 3rd Ave,
San Diego, CA 92103-1407

Ph: (619) 278-6533
Dr Shannon Yvette Moore, MD, MPH
4311 3rd Ave,
San Diego, CA 92103-1407

Ph: (619) 278-6533

Reviews and Comments


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