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NPI Code Detail

MEDICARE: MR. MOISES BUHAIN

MEDICARE: MR. MOISES BUHAIN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1528271160
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOISES BUHAIN
Provider Business Mailing Address
First Line : 8875 AERO DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-2251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8875 AERO DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-2251
Country : US
Telephone Number : 858-565-4148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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Directions to “ MR. MOISES BUHAIN ” Practice Location

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