Moya, Jose Antonio

Moya, Jose Antonio is an sole proprietor health care provider with primary practice located at 760 E 9Th St Spc 25 , San Bernardino CA 92410-4053. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Moya, Jose Antonio can be contacted via phone (909) 521-4268.

Contact Information

Primary practice address
760 E 9Th St Spc 25 San Bernardino CA 92410-4053
Phone: (909) 521-4268
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X E170039 California

Profile Details

NPI number 1366150955
LBN Legal business name Moya, Jose Antonio
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2022
Last updated Nov 11th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366150955 NPPES
California MEDICAID 20060100714400

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