# MEDHERO SAN CLEMENTE, A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1558736520
- **Authorized official:** DR. GREGORY WILLIAM MORENO M.D. (PRESIDENT)
- **Authorized official phone:** (323) 533-6656

## Contact information

- **Practice address:** 905 CALLE AMANECER, SUITE 115, SAN CLEMENTE, CA 92673-6274
- **Practice address phone:** (949) 207-3603
- **Mailing address:** 905 CALLE AMANECER, SUITE 115, SAN CLEMENTE, CA 92673-6274
- **Mailing address phone:** (949) 207-3603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 12/02/2015
- **Last updated:** 02/14/2025