Moreno, Paula

Moreno, Paula is an sole proprietor health care provider with primary practice located at 395 Oyster Point Blvd Ste 512 , South San Francisco CA 94080-1973. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Moreno, Paula can be contacted via phone (650) 826-2945.

Contact Information

Primary practice address
395 Oyster Point Blvd Ste 512 South San Francisco CA 94080-1973
Phone: (650) 826-2945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 95010447 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95010447 California

Profile Details

NPI number 1396215943
LBN Legal business name Moreno, Paula
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2018
Last updated May 21st, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396215943 NPPES
California MEDICAID 95010447

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