SearchCalifornia1041C0700X

Michelle Moreno

NPI 1538647680 · on the registry since 2018

Practice

Address
6931 Van Nuys Blvd Ste 200
Van Nuys, CA 91405
Phone
(818) 989-9214
Organisation at this address
Jaid Gorban
Alfa Four, Inc.
Purity Hospice Inc.
Vanowen Dental Center
Angelic Touch Hospice
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Additional practice sites

  • 8616 La Tijera Blvd Ste 200, Los Angeles, CA
  • 333 S Beaudry Ave, Los Angeles, CA

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
1041C0700X
390200000X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-09

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