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Donnie Moreno

NPI 1093584815 · on the registry since 2023

Practice

Address
462 Prescott St
Pasadena, CA 91104
Phone
(626) 485-2635

Registry record

Primary taxonomy
2081S0010X
2081S0010X
Also registered as
163WW0000X
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-29

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