Individual
ROBERT BRUCE MORICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 SUPERIOR AVE, SUITE 200, NEWPORT BEACH, CA 92663-2741
(949) 642-6200
(949) 642-9359
Mailing address
320 SUPERIOR AVE, SUITE 200, NEWPORT BEACH, CA 92663-2741
(949) 642-6200
(949) 642-9359
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G49411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G49411
LICENSE
—
05
—
GR0077190
—
CA
Enumeration date
08/07/2006
Last updated
03/07/2023
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