| NPI | 1649710971 | 
|---|---|
| Doing Business As | MORENO UROLOGY | 
| Entity Type | Organization | 
| Authorized Contact | TIMOTHY R MORENO President 209-840-2575  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A45369)  | 
| Enumeration Date | 2017-03-06 | 
| Last Update Date | 2017-03-06 |