Provider Demographics
NPI:1447387451
Name:MOUSSEAU, CARRIE RIOPEL (MD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:RIOPEL
Last Name:MOUSSEAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:LOIS
Other - Last Name:RIOPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:333 W EL CAMINO REAL STE 265
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-8127
Mailing Address - Country:US
Mailing Address - Phone:669-248-3959
Mailing Address - Fax:408-663-5105
Practice Address - Street 1:333 W EL CAMINO REAL STE 265
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-8127
Practice Address - Country:US
Practice Address - Phone:669-248-3959
Practice Address - Fax:408-663-5105
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69538207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine