Healthcare Provider Details

I. General information

NPI: 1841134608
Provider Name (Legal Business Name): JOSEPH MOSHIRI
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: JOEY MOSHIRI

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

592 RIO LINDO AVE
CHICO CA
95926-1817
US

IV. Provider business mailing address

2241 HOLLY AVE
CHICO CA
95926-2150
US

V. Phone/Fax

Practice location:
  • Phone: 530-518-7541
  • Fax:
Mailing address:
  • Phone: 530-518-7541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: