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Organization
ST JOSEPH MULTI-SPECIALTY CLINIC CORP
Active
Organization
ST JOSEPH MULTI-SPECIALTY CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHURA A MORENO MD (MEDICAL DIRECTOR)
(626) 839-9100
Entity
Organization
Contact information
Practice address
1557 E AMAR RD STE F, WEST COVINA, CA 91792-1678
(626) 839-9100
Mailing address
1557 E AMAR RD STE F, WEST COVINA, CA 91792-1678
(626) 839-9100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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