| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Juan F. Moscoso · MOSCOSO VILLARONGA JUAN F MD | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Juan | [sources] | |||
| ID Number | 00180847 | [sources] | |||
| Last name | Moscoso | [sources] | |||
| Middle name | F. | [sources] | |||
| NPI | 1710046396 | [sources] | |||
| Registration number | 00G866050 · G86605 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 13652 Cantara St., Panorama City, CA · 6228 De Longpre Ave., Unit #5, Los Angeles, CA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-medny-064a4e7fa6a024b6e29beb95d7f92821395a7ef4 · us-medca-0efc00d13d3af73927db8df0598316721949f188For experts: raw data explorer
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| United States | Department of Health Care Services | - | - |