Individual
ESMERALDA MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A117914
CA
208M00000X
Hospitalist Physician
Primary
A117914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A117914
CA MEDICAL LICENSE
CA
Enumeration date
03/10/2011
Last updated
03/17/2018
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