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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

NPI # 1013175611
LBN Legal business name CHARLES J MORAN MD INC
Authorized official CHARLES MORAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2008
Last updated 10/21/2009 - About 17 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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