| |
23180 Hemlock Ave Ste 100, Moreno Valley, CA 92557-8001 | |
(951) 266-9880 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 23180 Hemlock Ave Ste 100, Moreno Valley, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982352233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 220, Moreno Valley, CA 92556-0220 Ph: (951) 266-9880 | 23180 Hemlock Ave Ste 100, Moreno Valley, CA 92557-8001 Ph: (951) 266-9880 |