Moreno, Renee

Moreno, Renee is an individual health care provider with primary practice located at 330 Golden Shr Ste 250 , Long Beach CA 90802-4270. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Moreno, Renee can be contacted via phone (562) 256-7550.

Contact Information

Primary practice address
330 Golden Shr Ste 250 Long Beach CA 90802-4270
Phone: (562) 256-7550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 10417 California

Profile Details

NPI number 1710227095
LBN Legal business name Moreno, Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2013
Last updated Feb 22nd, 2013 - about 13 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 1710227095 NPPES
California MEDICAID 10417

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