Dr. Michie Moreno
Family Doctor General Practice Physician
1720 W Ball Rd Suite 3c
Anaheim
, California 92804-5500
Dr. Michie Moreno
Family Doctor General Practice Physician
1720 W Ball Rd Suite 3c
Anaheim
, California 92804-5500
(714) 533-7005
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About
Features
Specialties
- Family Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Michie Moreno
- 1720 W Ball Rd Suite 3c
- Anaheim, CA
- Zip : 92804-5500
- Phone : (714) 533-7005
Second Address
- Dr. Michie Moreno
- 1720 W Ball Rd Suite 3c
- Anaheim, CA
- Zip : 92804-5500
- Phone : (714) 533-7005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | A52079 | CA |
| Y | 208D00000X | General Practice Physician | A52079 | CA |
National Provider Identifier
| NPI | 1033356209 |
|---|---|
| Provider Name | Dr. Michie Moreno |
| First Address | Anaheim, CA 92804-5500 |
| Second Address | Anaheim, CA 92804-5500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.