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General NPI Number Information
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NPI Number | 1487390902
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Entity Type | Organization
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Legal Business Name | GEORGE MORAN JR., M.D., INC.
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Dates
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Enumeration Date | 05/08/2022
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 614 N LINWOOD AVE
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City | SANTA ANA
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State | CA
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Zip | 92701-4331
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Country | US
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Telephone | 657-341-3900
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Fax | 909-247-3299
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Provider Business Mailing Address
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Address Line | 614 N LINWOOD AVE
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City | SANTA ANA
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State | CA
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Zip | 92701-4331
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE MORAN JR.
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Credential | MD
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Telephone | 310-713-1822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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