Provider Demographics
NPI:1659462505
Name:MOIX, LUKE JOSEPH (MEDICAL DOCTOR)
Entity Type:Individual
Prefix:MR
First Name:LUKE
Middle Name:JOSEPH
Last Name:MOIX
Suffix:
Gender:M
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1700 PIERCE STREET
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:415-674-1339
Mailing Address - Fax:650-878-2487
Practice Address - Street 1:1700 PIERCE STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-674-1339
Practice Address - Fax:650-878-2487
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA550212084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A550210Medicaid
94-3405380OtherEMPLOYER ID NUMBER
CA00A550210Medicaid