Individual provider · Type 1 NPI

Demi Moore

Rehabilitation Practitioner · San Leandro, CA

NPI number 1831050186 Active

Practice location

2045 Fairmont Dr
San Leandro, CA 94578-1088

Call (510) 667-7540 Map

Mailing address

27861 Havana Ave
Hayward, CA 94544-5056

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1831050186

Demi Moore's National Provider Identifier is 1831050186, issued on Nov 18, 2025. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Leandro, CA. The record was last updated on Nov 19, 2025.