Organization · Type 2 NPI
Timothy R. Moreno, Md, Inc
Medical Specialty Clinic/Center · Sonora, CA
Practice location
105 S Forest Rd
Sonora, CA 95370-4895
Fax (209) 532-8436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | A45369 (CA) |
Medical Specialty Clinic/Center: 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).
About NPI 1649710971
Timothy R. Moreno, Md, Inc's National Provider Identifier is 1649710971, issued on Mar 6, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Sonora, CA. The record was last updated on Mar 6, 2017.