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Luis Moreno

NPI 1518311430 · on the registry since 2016 · sole proprietor

Practice

Address
4632 E 56th St
Maywood, CA 90270
Phone
(213) 359-3652

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-09

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