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Timothy R. Moreno, Md, Inc
Medical Specialty Clinic/Center in Sonora, California
NPI 1649710971

Timothy R. Moreno, Md, Inc is a Medical Specialty Clinic/Center based in Sonora, CA and is specialized in Medical Specialty. Timothy R. Moreno, Md, Inc practices in Sonora, CA. The NPI Number for Timothy R. Moreno, Md, Inc is 1649710971 and holds a License No. A45369 (California).

The current practice location address for Timothy R. Moreno, Md, Inc is 105 S Forest Rd, Sonora, CA and can be reached out via phone at 209-532-1255 and via fax at 209-532-8436.

Location: 105 S Forest Rd, Sonora, CA, 95370-4895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649710971
Provider Name
Timothy R. Moreno, Md, Inc
Credential
Provider Entity Type
Organization
Address
105 S Forest Rd, Sonora, CA, 95370-4895
Phone Number
209-532-1255
Fax Number
209-532-8436
Provider Enumeration Date
03/06/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A453690 05 CA
institution
Provider Business Practice Location Address Details
Address
105 S Forest Rd
City
Sonora
State
California
Zip
95370-4895
Phone Number
209-532-1255
Fax Number
209-532-8436
person
Provider Business Mailing Address Details
Address
105 S Forest Rd
City
Sonora
State
California
Zip
95370-4895
Phone Number
209-532-1255
Fax Number
209-532-8436
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A45369 (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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