Provider Demographics
NPI:1649263906
Name:MORAN ROWEN AND DORSEY INC
Entity type:Organization
Organization Name:MORAN ROWEN AND DORSEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HABERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-571-5000
Mailing Address - Street 1:PO BOX 14005
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92863-1405
Mailing Address - Country:US
Mailing Address - Phone:714-571-5000
Mailing Address - Fax:714-571-5055
Practice Address - Street 1:431 S BATAVIA ST
Practice Address - Street 2:STE. 103
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3936
Practice Address - Country:US
Practice Address - Phone:714-538-6731
Practice Address - Fax:714-771-8369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ73854ZOtherCALOPTIMA
GR0012710OtherCALOPTIMA
ZZZ74893ZOtherCALOPTIMA
ZZZ81073ZOtherBLUE SHIELD OF CA
GR0012711OtherCALOPTIMA
ZZZ74894ZOtherBLUE SHIELD OF CA
ZZZ81307ZOtherBLUE SHIELD OF CA
ZZZ74893ZOtherBLUE SHIELD OF CA
CAZZZ81307ZMedicaid
CAGR0012711Medicaid
ZZZ73854ZOtherBLUE SHIELD OF CA
CR0343OtherRAILROAD MEDICARE
CAGR0012712Medicaid
CAZZZ73854ZMedicaid
CAZZZ74893ZMedicaid
ZZZ81307ZOtherCALOPTIMA
CAGR0012711Medicaid
W228DMedicare PIN
W228DMedicare PIN
ZZZ81307ZOtherCALOPTIMA