Moreno, Ivonne

Moreno, Ivonne is an individual health care provider with primary practice located at 130 W. Victoria St. , Gardena CA 90248. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Moreno, Ivonne can be contacted via phone (310) 715-2020.

Contact Information

Primary practice address
130 W. Victoria St. Gardena CA 90248
Phone: (310) 715-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1194979310
LBN Legal business name Moreno, Ivonne
Credentials OTS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Jan 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers