Provider Demographics
NPI:1518276906
Name:DRX ONE HEALTH SERVICES, P.C.
Entity Type:Organization
Organization Name:DRX ONE HEALTH SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-806-9778
Mailing Address - Street 1:12417 FAIR OAKS BLVD
Mailing Address - Street 2:#600
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-2501
Mailing Address - Country:US
Mailing Address - Phone:916-503-2224
Mailing Address - Fax:270-738-7550
Practice Address - Street 1:12417 FAIR OAKS BLVD
Practice Address - Street 2:#600
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-2501
Practice Address - Country:US
Practice Address - Phone:916-503-2224
Practice Address - Fax:270-738-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-02
Last Update Date:2010-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53062302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization