Moody, Chester D
Moody, Chester D is an individual health care provider with primary practice located at 25500 Medical Center Dr , Murrieta CA 92562-5965. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Moody, Chester D can be contacted via phone (909) 696-6000.Contact Information
Primary practice address
25500 Medical Center Dr
Murrieta CA 92562-5965
Phone: (909) 696-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G084793 | California |
Profile Details
| NPI number | 1487643946 |
|---|---|
| LBN Legal business name | Moody, Chester D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jan 30th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487643946 | NPPES |
| California | MEDICAID | 00G847930 |
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