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Contact Information

FERNANDO L MOULTON
1688 PERRIS BLVD, SUITE L6-11
PERRIS, CA92571
 Phone: 951-443-2200
 Fax: 951-443-2230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for FERNANDO L MOULTON · (Male)

NPI Number 1134546617
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2014
Last updated 03/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
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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