Moreno Valley Community Medical Group

LBN: Moreno Valley Community Medical Group
Moreno Valley Community Medical Group is an health care organization with primary practice located at 23180 Hemlock Ave Ste 201 , Moreno Valley CA 92557-8001. The organization recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacotherapy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Moreno Valley Community Medical Group can be contacted via phone (951) 243-6460, or through Pengson, Joel A via phone (951) 243-6460.

Contact Information

Primary practice address
23180 Hemlock Ave Ste 201 Moreno Valley CA 92557-8001
Phone: (951) 243-6460
Fax: (951) 243-5871
Website:
Map and Directions
Authorized official contact:
Name: Pengson, Joel A Doctor of Medicine (MD)
Phone: (951) 243-6460

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
Pharmacy Service Providers / Pharmacotherapy 1835P1200X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1437595873
LBN Legal business name Moreno Valley Community Medical Group
DBA Doing business as
Authorized official Pengson, Joel A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2013
Last updated Apr 23rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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