Moralez, Tony
Moralez, Tony is an individual health care provider with primary practice located at 7117 Brockton Ave , Riverside CA 92506-2615. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moralez, Tony can be contacted via phone (951) 782-3853.Contact Information
Primary practice address
7117 Brockton Ave
Riverside CA 92506-2615
Phone: (951) 782-3853
Fax: (951) 784-3271
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA11641 |
Profile Details
| NPI number | 1194700658 |
|---|---|
| LBN Legal business name | Moralez, Tony |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Jan 3rd, 2011 - about 15 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 | 1194700658 | NPPES |
| California | Other | 1730180415 | GROUP NPI |
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