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Contact Information

CHARLES J MORAN MD INC
1763 RAMADA DRIVE
PASO ROBLES, CA93446
 Phone: 805-226-0902
 Fax: 805-226-0905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CHARLES J MORAN MD INC · (Female)

NPI # 1013175611
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2008
Last updated 10/21/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # C3076452
  • CA Other ZZZ54744Y BLUE SHIELD GRP PIN
  • CA Other C3076452 CALIF STATE LICENSE
  • CA Other 05D1091562 CLIA #
  • CA Other 614136900 USDOL
  • CA Other 0245163 WASHINGTON STATE DOL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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