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NPI Code Detail

MEDICARE: RAYMUNDO A MORALES M.D.

MEDICARE:   RAYMUNDO A MORALES  M.D.
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
1207R00000XInternal Medicine PhysicianA64001CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396784401
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMUNDO A MORALES M.D.
Provider Business Mailing Address
First Line : PO BOX 2200
Second Line :
City : REDLANDS
State : CA
Zip : 92373-0722
Country : US
Telephone Number : 909-795-9747
Fax Number : 909-797-3922
Provider Business Practice Location Address
First Line : 33758 YUCAIPA BLVD
Second Line :
City : YUCAIPA
State : CA
Zip : 92399-2243
Country : US
Telephone Number : 909-795-9747
Fax Number : 909-797-3922
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 11/30/2021

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Directions to “ RAYMUNDO A MORALES M.D.” Practice Location

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