Roy H Moffatt, MD | |
1350 W Covina Blvd, San Dimas, CA 91773-3245 | |
(909) 599-6811 | |
Not Available |
Full Name | Roy H Moffatt |
---|---|
Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 1350 W Covina Blvd, San Dimas, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386638054 | NPI | - | NPPES |
00C391480 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | C39148 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Roy H Moffatt, MD Po Box 2311, Chatsworth, CA 91313-2311 Ph: (818) 718-9500 | Roy H Moffatt, MD 1350 W Covina Blvd, San Dimas, CA 91773-3245 Ph: (909) 599-6811 |
Kumari S Wickramasinghe, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811 | |
Robert E Riechmann, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811 | |
Glenn S Hausdorfer, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 W Covina Blvd, San Dimas, CA 91773 Phone: 909-599-6811 |