| Devadas Moses | |
|
2880 Hulen Pl Riverside CA 92507-2606 | |
| (951) 715-3448 | |
| (951) 715-3449 |
| Full Name | Devadas Moses |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2880 Hulen Pl, Riverside, California |
| Authorized Official Name and Position | Dharmaseeli E Moses (CLINICAL SERVICES COORDINATOR) |
| Authorized Official Contact | 9517153448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devadas Moses 2880 Hulen Pl Riverside CA 92507-2606 Ph: (951) 715-3448 | Devadas Moses 2880 Hulen Pl Riverside CA 92507-2606 Ph: (951) 715-3448 |
| NPI Number | 1336492974 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336492974 | NPI | - | NPPES |
| 00A464920 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | A046492 (California) | Primary |
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