Search › California › 171M00000X
Jeremy Moreno
NPI 1275390882 · on the registry since 2024
Practice
- Address
- 1510 Argonaut Rd
Lakeport, CA 95453 - Phone
- (707) 263-5819
- Organisation at this address
- Lake County Office Of Education
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California