Individual
DR. MICHIE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1720 W BALL RD, SUITE 3C, ANAHEIM, CA 92804-5500
(714) 533-7005
Mailing address
1720 W BALL RD, SUITE 3C, ANAHEIM, CA 92804-5500
(714) 533-7005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A52079
CA
208D00000X
General Practice Physician
Primary
A52079
CA
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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