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A.m.palanca-capistrano,m.d.inc.
Medical Specialty Clinic/Center in Moreno Valley, California
NPI 1184027112

A.m.palanca-capistrano,m.d.inc. is a Medical Specialty Clinic/Center based in Riverside, CA and is specialized in Medical Specialty. A.m.palanca-capistrano,m.d.inc. practices in Moreno Valley, CA. The NPI Number for A.m.palanca-capistrano,m.d.inc. is 1184027112 and holds a License No. A91568 (California).

The current practice location address for A.m.palanca-capistrano,m.d.inc. is 13800 Heacock St, Moreno Valley, CA and can be reached out via phone at 951-653-3388.

Location: 13800 Heacock St, Moreno Valley, CA, 92508-9169
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184027112
Provider Name
A.m.palanca-capistrano,m.d.inc.
Credential
Provider Entity Type
Organization
Address
13800 Heacock St, Moreno Valley, CA, 92508-9169
Phone Number
951-653-3388
Fax Number
Provider Enumeration Date
10/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1585438 05 CA
institution
Provider Business Practice Location Address Details
Address
13800 Heacock St
City
Moreno Valley
State
California
Zip
92553-3339
Phone Number
951-653-3388
Fax Number
person
Provider Business Mailing Address Details
Address
13800 Heacock St
City
Moreno Valley
State
California
Zip
92553-3339
Phone Number
951-653-3388
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A91568 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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