CHARLES J MORAN MD INC
Emergency Medical Service at Ramada Dr, Lake Nacimiento, CA

License number
California C3076452
Category
Osteopathic Medicine
Type
Emergency Medical Services
Owner
Name: DR. CHARLES J. MORAN MD
Title: OWNER
Phone: (805) 226-0902
Address
Address
1763 Ramada Dr, Lake Nacimiento, CA 93446
National Provider ID: 1013175611
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHARLES J. MORAN, M.D., INC

Atascadero, CA  -  Lake Nacimiento, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Feb 13, 2008
Phone:
(805) 226-0902 (Phone)
Addresses:
4985 Rosario, Atascadero, CA 93422 (Physical)
1763 Ramada Dr, Lake Nacimiento, CA 93446
State ID:
C3076452
Business type:
Articles of Incorporation
President:
Charles J. Moran (President)
Agent:
J Johnson,Grover Beach, CA 93433 (Physical)

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