Moreno Valley Medical Group, Inc

LBN: Moreno Valley Medical Group, Inc
Moreno Valley Medical Group, Inc is an health care organization with primary practice located at 24490 Sunnymead Blvd , Moreno Valley CA 92553-7734. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Moreno Valley Medical Group, Inc can be contacted via phone (951) 242-9595, or through Richards, Jeffrey P via phone (951) 242-9595.

Contact Information

Primary practice address
24490 Sunnymead Blvd Moreno Valley CA 92553-7734
Phone: (951) 242-9595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Richards, Jeffrey P CMAIII
Phone: (951) 242-9595

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1740815166
LBN Legal business name Moreno Valley Medical Group, Inc
DBA Doing business as
Authorized official Richards, Jeffrey P CMAIII
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2020
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1740815166 NPPES
California MEDICAID 00A703100

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