Organization
INLAND HEART DOCTORS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO MOSCOSO MD (PRESIDENT)
(951) 734-4880
Entity
Organization
Contact information
Practice address
2250 S MAIN ST, SUITE 201, CORONA, CA 92882-5302
(951) 734-4880
(951) 734-7963
Mailing address
2250 S MAIN ST, SUITE 201, CORONA, CA 92882-5302
(951) 734-4880
(951) 734-7963
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084190
—
CA
Enumeration date
08/14/2006
Last updated
09/28/2018
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