Organization
CIRCLE CITY EKG READING PANEL,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO MOSCOSO M.D. (CHAIRMAN,DIRECTOR)
(951) 734-4880
Entity
Organization
Contact information
Practice address
2250 S MAIN ST, STE 201, CORONA, CA 92882-2536
(951) 734-4880
(951) 735-3566
Mailing address
2250 S MAIN ST, SUITE 201, CORONA, CA 92882-2534
(951) 734-4880
(951) 735-3566
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
04/15/2009
Last updated
08/14/2012
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