Organization
MORENO VALLEY MED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK DONKOH (PRESIDENT)
(480) 764-3757
Entity
Organization
Contact information
Practice address
14812 CASA LOMA DR, MORENO VALLEY, CA 92553-7131
(480) 764-3757
Mailing address
14812 CASA LOMA DR, MORENO VALLEY, CA 92553-7131
(480) 764-3757
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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