Individual
EDGAR MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3008 SILLECT AVE STE 220, BAKERSFIELD, CA 93308-6362
(661) 748-1999
(661) 748-1815
Mailing address
PO BOX 1139, BAKERSFIELD, CA 93302-1139
(661) 371-2796
(661) 438-1746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57434
CA
Other
Enumeration date
10/10/2018
Last updated
06/06/2025
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