Organization
RICARDO J. MORENO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO J MORENO MD (PRESIDENT)
(619) 297-0008
Entity
Organization
Contact information
Practice address
550 WASHINTGON ST #701, SAN DIEGO, CA 92103
(619) 297-0008
(619) 297-2498
Mailing address
550 WASHINTGON ST #701, SAN DIEGO, CA 92103
(619) 297-0008
(619) 297-2498
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A30738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A307381
—
CA
Enumeration date
03/14/2006
Last updated
04/02/2010
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