Provider Demographics
NPI:1588857460
Name:MORA-ESTEVES, CESAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:A
Last Name:MORA-ESTEVES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:72650 FRED WARING DR STE 202
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-5009
Mailing Address - Country:US
Mailing Address - Phone:760-346-1133
Mailing Address - Fax:760-346-8857
Practice Address - Street 1:72650 FRED WARING DR STE 104
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260
Practice Address - Country:US
Practice Address - Phone:760-346-1133
Practice Address - Fax:760-346-8857
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA133722208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA143032Medicaid
CACA143033Medicaid