Individual
MS. CARINA JULIE-ANN MOSCOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2250 S. MAIN ST., SUITE 201, CORONA, CA 92882-2536
(951) 734-4880
Mailing address
2250 S MAIN ST, SUITE 201, CORONA, CA 92882-2534
(951) 734-4880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 17838
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17838
PHYSICIAN ASSISTANT
CA
Enumeration date
10/23/2006
Last updated
07/14/2015
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