# LUIS A MORENO JR MD PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bejoli
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467260026
- **Authorized official:** DR. LUIS A MORENO MD (DIRECT OWNER / MD)
- **Authorized official phone:** (818) 515-7035

## Contact information

- **Practice address:** 3810 E FLAMINGO RD, LAS VEGAS, NV 89121-6227
- **Practice address phone:** (818) 515-7035
- **Mailing address:** 11700 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1573
- **Mailing address phone:** (818) 515-7035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2024
- **Last updated:** 12/27/2024