MEDICARE: DR. BEN MOSHREFI D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0900X	Internist Chiropractor	27824	CA

General Provider Information

NPI Number	:	1023188174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BEN MOSHREFI D.C.

Provider Business Mailing Address
First Line	:	1450 UNIVERSITY AVE STE E
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-4411
Country	:	US
Telephone Number	:	951-222-2002
Fax Number	:	951-686-8083

Provider Business Practice Location Address
First Line	:	1450 UNIVERSITY AVE STE E
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-4411
Country	:	US
Telephone Number	:	951-222-2002
Fax Number	:	951-686-8083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	07/21/2022

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