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 1:978 LOMA VERDE AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4019
Mailing Address - Country:US
Mailing Address - Phone:650-888-5790
Mailing Address - Fax:
Practice Address - Street 1:895 SHERWOOD AVE STE 100
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1344
Practice Address - Country:US
Practice Address - Phone:650-888-5790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69538207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine