Jose Limon Professional Medical Coorporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A045442 Issued in CA

Legal business name

JOSE LIMON PROFESSIONAL MEDICAL COORPORATION

Practice address

22635 Alessandro Blvd.
Unit 400, Suite a
Moreno Valley, CA 92553-2854

Phone

(951) 242-2226

Fax

(951) 242-8969

NPI assigned

Jun 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose Maria Limon, MD

Title

Executive Director

Phone

(951) 242-2226

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1104022078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22635 ALESSANDRO BLVD.",
            "address_2": "UNIT 400, SUITE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532854",
            "telephone_number": "951-242-2226",
            "fax_number": "951-242-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22635 ALESSANDRO BLVD.",
            "address_2": "UNIT 400, SUITE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532854",
            "telephone_number": "951-242-2226",
            "fax_number": "951-242-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE LIMON PROFESSIONAL MEDICAL COORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "LIMON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-242-2226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A045442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.