Individual provider · Type 1 NPI

Bryan Moore, LVN

Licensed Vocational Nurse · Costa Mesa, CA

NPI number 1912351396 Active

Practice location

245 Victoria St, Suite 1H
Costa Mesa, CA 92627

Call (949) 629-2860 Map

Fax (949) 629-2867

Mailing address

20423 Via Don Juan
Yorba Linda, CA 92886-3047

Specialties and licenses

Taxonomy	Code	License
Licensed Vocational Nurse Primary	164X00000X	735990 (CA)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

Other licensed vocational nurse providers in Costa Mesa

See all in Costa Mesa →

About NPI 1912351396

Bryan Moore, LVN's National Provider Identifier is 1912351396, issued on Apr 21, 2016. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 2, 2025.