# KATHLEEN A MORENO MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205993714
- **Authorized official:** DR. KATHLEEN A MORENO MD (CHILD ADOLESCENT AND ADULT PSYCHIAT)
- **Authorized official phone:** (310) 208-7558

## Contact information

- **Practice address:** 1081 WESTWOOD BLVD, SUITE 212, LOS ANGELES, CA 90024
- **Practice address phone:** (310) 208-7558
- **Practice address fax:** (210) 208-6448
- **Mailing address:** 1081 WESTWOOD BLVD, SUITE 212, LOS ANGELES, CA 90024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | G77109 | CA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | G77109 | CA | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 09/11/2025