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Contact Information

KATHLEEN A MORENO, MD
8616 LA TIJERA BLVD
SUITE 304
LOS ANGELES, CA90045
 Phone: 310-645-4266
 Fax: 424-331-5020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for KATHLEEN A MORENO · (Female)

NPI # 1326217662
Status Active
Credentials MD
Entity Individual
Enumeration date 02/20/2008
Last updated 06/27/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G77109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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