Search › California › 1041S0200X
Alejandro Moreno, PPS: 220109949
NPI 1568355063 · on the registry since 2025
Practice
- Address
- 812 W 165th Pl
Gardena, CA 90247 - Phone
- (310) 425-1605
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-02
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