Randale Moore

NPI 1972160414 · on the registry since 2019

Practice

Address: 1111 Baker St
Costa Mesa, CA 92626
Phone: (949) 836-5239
Fax: (949) 301-9608
Organisation at this address: Azizi-Shahba Chiropractic
Proof Positive Aba Therapies
Cuirim Sports Physical Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 279

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California