Most Relevant Information
Provider Data
| NPI Number: | 1003381583 |
| Provider Name: | EDGAR MORENO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2018 |
| Last Updated: | 10/28/2019 |
Provider Practice Location
6001 TRUXTUN AVE
BAKERSFIELD
CA
933090679
Practice Location Phone/Fax
| Phone: | 6613238477 |
| Fax: |
Provider Mailing Location
918 CADMUS CT
ARVIN
CA
932032000
Provider Mailing Phone/Fax
| Phone: | 6615570847 |
| Fax: |