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Jose Antonio Moya
Basic Emergency Medical Technician in San Bernardino, California
NPI 1366150955

Jose Antonio Moya is a Basic Emergency Medical Technician based in San Bernardino, CA. Jose Antonio Moya practices in San Bernardino, CA. The NPI Number for Jose Antonio Moya is 1366150955 and holds a License No. E170039 (California).

The current practice location address for Jose Antonio Moya is 760 E 9Th St Spc 25, San Bernardino, CA and can be reached out via phone at 909-521-4268.

Location: 760 E 9Th St Spc 25, San Bernardino, CA, 92410-4053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366150955
Provider Name
Jose Antonio Moya
Credential
Provider Entity Type
Individual
Gender
Male
Address
760 E 9Th St Spc 25, San Bernardino, CA, 92410-4053
Phone Number
909-521-4268
Fax Number
Provider Enumeration Date
11/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20060100714400 05 CA
institution
Provider Business Practice Location Address Details
Address
760 E 9Th St Spc 25
City
San Bernardino
State
California
Zip
92410-4053
Phone Number
909-521-4268
Fax Number
person
Provider Business Mailing Address Details
Address
760 E 9Th St Spc 25
City
San Bernardino
State
California
Zip
92410-4053
Phone Number
909-521-4268
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
E170039 (California)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
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