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Contact Information

LUIS A MORENO
1660 DREW CIR APT 53
DAVIS, CA95618-6357
 Phone: 707-631-6188
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LUIS A MORENO · (Male)

NPI Number 1336887884
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2022
Last updated 05/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
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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