Moreno, Gabriel Mario

Moreno, Gabriel Mario is an sole proprietor health care provider with primary practice located at 1805 N California St Ste 200 , Stockton CA 95204-6032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Moreno, Gabriel Mario can be contacted via phone (096) 454-0052.

Contact Information

Primary practice address
1805 N California St Ste 200 Stockton CA 95204-6032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 135971 California

Profile Details

NPI number 1376886457
LBN Legal business name Moreno, Gabriel Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2013
Last updated Jul 10th, 2020 - about 6 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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