Antle & Moradi Md Apc

NPI 1063688703 - Specialist - 174400000X

NPI Details
NPI 1063688703
Enumeration Date 05/02/2008
Last Updated 05/02/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name REGG VINCE REGG
Position PRESIDENT
Phone (760) 726-6451
Fax (760) 726-4822
Practice Location
2023 W VISTA WAY STE F
VISTA CA, 92083-6030, US
Phone (760) 726-6451
Fax (760) 726-4822
Business Location
2023 W VISTA WAY STE F
VISTA CA, 92083-6030, US
Phone (760) 726-6451
Fax (760) 726-4822
Toxanomy
Taxonomy Code 174400000X
License State California
License Number C30572
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According to our database, Antle & Moradi Md Apc NPI is 1063688703, taxonomy code is 174400000X and license number is C30572, license state is located at California. Antle & Moradi Md Apc physically located at 2023 W Vista Way Ste F, Vista CA, 92083-6030. NPI Number 1033115704 has the healthcare provider type.

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1063688703 NPI number is provided on an as is basis without warranty of any kind. 1063688703 is maintained by the National Plan & Provider Enumeration System. The contents of Antle & Moradi Md Apc are for informational purposes only.