Organization
KRISHNAMOORTHI MD INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMA KRISHNAMOORTHI M.D. (CFO)
(209) 838-2278
Entity
Organization
Contact information
Practice address
850 CALIFORNIA ST, ESCALON, CA 95320-1506
(209) 838-2278
Mailing address
850 CALIFORNIA ST, ESCALON, CA 95320-1506
(209) 838-2278
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53830H
—
CA
Enumeration date
01/16/2007
Last updated
01/02/2026
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