| Jose Limon Professional Medical Coorporation | |
|
22635 Alessandro Blvd. Unit 400, Suite A Moreno Valley CA 92553-2854 | |
| (951) 242-2226 | |
| (951) 242-8969 |
| Full Name | Jose Limon Professional Medical Coorporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 22635 Alessandro Blvd., Moreno Valley, California |
| Authorized Official Name and Position | Jose Maria Limon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9512422226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Limon Professional Medical Coorporation 22635 Alessandro Blvd. Unit 400, Suite A Moreno Valley CA 92553-2854 Ph: (951) 242-2226 | Jose Limon Professional Medical Coorporation 22635 Alessandro Blvd. Unit 400, Suite A Moreno Valley CA 92553-2854 Ph: (951) 242-2226 |
| NPI Number | 1104022078 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 12/27/2010 |
| Medicare PECOS PAC ID | 3779679592 |
|---|---|
| Medicare Enrollment ID | O20071009000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104022078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A045442 (California) | Primary |
| Provider Name | Jose M Limon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992725626 PECOS PAC ID: 3779473087 Enrollment ID: I20050622000512 |
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