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Organization
SHURA MORENO MD APC
Active
Organization
SHURA MORENO MD APC
Active
Other names
SAINT VICTORIA MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SHURA A MORENO MD (PRESIDENT)
(323) 581-5120
Entity
Organization
Contact information
Practice address
7301 STATE ST, HUNTINGTON PARK, CA 90255-5823
(323) 581-5120
(323) 581-5148
Mailing address
7301 STATE ST, HUNTINGTON PARK, CA 90255-5823
(323) 581-5120
(323) 581-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A78052
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100770
—
CA
Enumeration date
04/17/2007
Last updated
09/27/2012
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