Jack O Moreno in Mission Hills - General Practice
Jack O Moreno - NPI 1548309321
Jack O Moreno is a General Practice in Mission Hills, California. Jack O Moreno practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack O Moreno is 1548309321. The last update date is 2007-07-08.
Jack O Moreno's current location address is 15531 Devonshire Street, Mission Hills, California. You can contact this provider via phone number 8188947979 and fax number 8188951159. The mailing address for Jack O Moreno is 15531 Devonshire Street, Mission Hills, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack O Moreno |
|---|---|
| Address | 15531 Devonshire Street, Mission Hills, California |
| Phone Number | 8188947979 |
| Fax Number | 8188951159 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548309321 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15531 Devonshire Street |
|---|---|
| City | Mission Hills |
| State | California (CA) |
| Post Code | 91345 |
| Phone Number | 8188947979 |
| Fax Number | 8188951159 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 52760 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Jack O Moreno by the Centers for Medicare & Medicaid Services?
The Jack O Moreno has been assigned the NPI (National Provider Identifier) 1548309321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Jack O Moreno's physical address?
The Jack O Moreno is physically located at 15531 Devonshire Street, in the city of Mission Hills, CA, with the postal code 91345.
What is Jack O Moreno's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack O Moreno is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Jack O Moreno receive its 1548309321 assignment from the Centers for Medicare & Medicaid Services?
The Jack O Moreno was assigned its 1548309321 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the Jack O Moreno's details last updated?
The information pertaining to the Jack O Moreno, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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