Organization
MORAN ROWEN AND DORSEY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY D. HABERMAN (EXECUTIVE DIRECTOR)
(714) 571-5000
Entity
Organization
Contact information
Practice address
431 S BATAVIA ST, STE. 103, ORANGE, CA 92868-3936
(714) 538-6731
(714) 771-8369
Mailing address
PO BOX 14005, ORANGE, CA 92863-1405
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR0343
RAILROAD MEDICARE
—
01
—
GR0012710
CALOPTIMA
—
01
—
GR0012711
CALOPTIMA
—
05
—
GR0012711
—
CA
05
—
GR0012712
—
CA
01
—
ZZZ73854Z
CALOPTIMA
—
05
—
ZZZ73854Z
—
CA
01
—
ZZZ74893Z
CALOPTIMA
—
05
—
ZZZ74893Z
—
CA
01
—
ZZZ74894Z
BLUE SHIELD OF CA
—
01
—
ZZZ81073Z
BLUE SHIELD OF CA
—
01
—
ZZZ81307Z
BLUE SHIELD OF CA
—
05
—
ZZZ81307Z
—
CA
Enumeration date
08/23/2005
Last updated
05/23/2016
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