# JOHN LIQUETE MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053660662
- **Authorized official:** JOHNNY A LIQUETE MD (OWNER)
- **Authorized official phone:** (951) 697-1150

## Contact information

- **Practice address:** 14114 BUSINESS CENTER DR, SUITE D, MORENO VALLEY, CA 92553-9113
- **Practice address phone:** (951) 697-1150
- **Mailing address:** 14114 BUSINESS CENTER DR, SUITE D, MORENO VALLEY, CA 92553-9113
- **Mailing address phone:** (951) 697-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | A49014 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2012
- **Last updated:** 08/29/2012