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1790837151
MICHAEL R. MORENO
SAN DIEGO, CA
NPI
1790837151
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A65119)
Enumeration Date
2007-01-17
Last Update Date
2021-12-01
Business Address
MICHAEL R. MORENO MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
MICHAEL R. MORENO MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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