Alex Moreno, M.d., Medical Group, Inc | |
1523 E Amar Rd Suite E West Covina CA 91792-1619 | |
(626) 839-9100 | |
(626) 839-9106 |
Full Name | Alex Moreno, M.d., Medical Group, Inc |
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Speciality | Internal Medicine |
Location | 1523 E Amar Rd, West Covina, California |
Authorized Official Name and Position | Shura A. Moreno (DIRECTOR) |
Authorized Official Contact | 6268399100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alex Moreno, M.d., Medical Group, Inc 1523 E Amar Rd Suite E West Covina CA 91792-1619 Ph: (626) 839-9100 | Alex Moreno, M.d., Medical Group, Inc 1523 E Amar Rd Suite E West Covina CA 91792-1619 Ph: (626) 839-9100 |
NPI Number | 1679701320 |
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Provider Enumeration Date | 07/01/2009 |
Last Update Date | 10/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679701320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A78052 (California) | Primary |
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