Healthcare Provider Details

I. General information

NPI: 1215464433
Provider Name (Legal Business Name): ANDRES FERNANDO MORENO ROJAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2017
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 VALLEY CHILDRENS PL # FC14
MADERA CA
93636-8762
US

IV. Provider business mailing address

9300 VALLEY CHILDRENS PL # SC05
MADERA CA
93636-8762
US

V. Phone/Fax

Practice location:
  • Phone: 559-353-6257
  • Fax:
Mailing address:
  • Phone: 559-353-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA170151
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: