Moricca, Robert Bruce
Moricca, Robert Bruce is an individual health care provider with primary practice located at 320 Superior Ave Suite 200, Newport Beach CA 92663-2741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Moricca, Robert Bruce can be contacted via phone (949) 642-6200.Contact Information
Primary practice address
320 Superior Ave Suite 200
Newport Beach CA 92663-2741
Phone: (949) 642-6200
Fax: (949) 642-9359
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | G49411 | California |
Profile Details
NPI number | 1902815822 |
---|---|
LBN Legal business name | Moricca, Robert Bruce |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 7th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1902815822 | NPPES |
Other | G49411 | LICENSE | |
MEDICAID | GR0077190 | LICENSE |
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