Johnny A Liquete, MD Valid NPI

Individual provider · Internal Medicine Physician · Moreno Valley, CA

NPI

1366438574

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

A49014 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-09-22

Last updated

2011-07-18