Moreno, Cynthia Diane
Moreno, Cynthia Diane is an individual health care provider with primary practice located at 15361 Central Ave , Chino CA 91710-7608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Moreno, Cynthia Diane can be contacted via phone (909) 363-7171.Contact Information
Primary practice address
15361 Central Ave
Chino CA 91710-7608
Phone: (909) 363-7171
Fax: (909) 363-7676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A 8031 | California |
Profile Details
| NPI number | 1053394817 |
|---|---|
| LBN Legal business name | Moreno, Cynthia Diane |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Feb 10th, 2020 - about 5 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 | 1053394817 | NPPES |
| California | MEDICAID | 00AX83110 |
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