Provider Demographics
NPI:1841452950
Name:MOORE, ERIN GREENSPUN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:GREENSPUN
Last Name:MOORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:MICHELE
Other - Last Name:GREENSPUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:BUILDING 588 M/C 7002
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-0001
Mailing Address - Country:US
Mailing Address - Phone:805-893-5361
Mailing Address - Fax:805-893-4111
Practice Address - Street 1:BUILDING 588 M/C 7002 UCSB STUDENT HEALTH
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-4339
Practice Address - Country:US
Practice Address - Phone:805-893-3371
Practice Address - Fax:805-893-4911
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA11819207R00000X
CAA111819208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine