Moreno Valley Family Health Center in Moreno Valley - Pediatric Dentistry
Moreno Valley Family Health Center - NPI 1679749501
Moreno Valley Family Health Center is a Pediatric Dentistry in Moreno Valley, California. Moreno Valley Family Health Center practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Moreno Valley Family Health Center is 1679749501. The last update date is 2019-03-20.
Moreno Valley Family Health Center's current location address is 22675 Alessandro Blvd, Moreno Valley, California. You can contact this provider via phone number 9515712350 and fax number 9515712370. The mailing address for Moreno Valley Family Health Center is 22675 Alessandro Blvd, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moreno Valley Family Health Center |
|---|---|
| Address | 22675 Alessandro Blvd, Moreno Valley, California |
| Phone Number | 9515712350 |
| Fax Number | 9515712370 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Holeman Lori |
| Telephone Number | 9515712300 |
NPI Number Detail
| NPI Number | 1679749501 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2019-03-20 |
Provider Mailing Address Detail
| Address | 22675 Alessandro Blvd |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925538551 |
| Phone Number | 9515712350 |
| Fax Number | 9515712370 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 47987 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| NPI 1679749501 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Moreno Valley Family Health Center by the Centers for Medicare & Medicaid Services?
The Moreno Valley Family Health Center has been assigned the NPI (National Provider Identifier) 1679749501. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Moreno Valley Family Health Center?
The Moreno Valley Family Health Center is physically situated at 22675 Alessandro Blvd, in the city of Moreno Valley, state of CA, with the postal code 925538551.
What is Moreno Valley Family Health Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Moreno Valley Family Health Center's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679749501 to Moreno Valley Family Health Center?
The Centers for Medicare & Medicaid Services originally issued the 1679749501 to Moreno Valley Family Health Center on 2008-04-30.
When was the information related to Moreno Valley Family Health Center most recently updated or refreshed?
The details pertaining to the Moreno Valley Family Health Center, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-03-20.
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