| Moorpark Comprehensive Medical Group, Inc. | |
|
14711 Princeton Ave Suite 2 Moorpark CA 93021-1457 | |
| (805) 532-2032 | |
| (805) 532-2844 |
| Full Name | Moorpark Comprehensive Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14711 Princeton Ave, Moorpark, California |
| Authorized Official Name and Position | Nhat Cong Vo (DIRECTOR) |
| Authorized Official Contact | 8055322032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moorpark Comprehensive Medical Group, Inc. 14711 Princeton Ave Suite 2 Moorpark CA 93021-1457 Ph: (805) 532-2032 | Moorpark Comprehensive Medical Group, Inc. 14711 Princeton Ave Suite 2 Moorpark CA 93021-1457 Ph: (805) 532-2032 |
| NPI Number | 1285737288 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 04/13/2011 |
| Medicare PECOS PAC ID | 4789610122 |
|---|---|
| Medicare Enrollment ID | O20050715001096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285737288 | NPI | - | NPPES |
| GR0090710 | Medicaid | CA |
| Provider Name | Nhat C Vo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215924451 PECOS PAC ID: 3476553397 Enrollment ID: I20110713000828 |
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