Individual
DAVID MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 COLUMBIA AVE STE 310, LOS ANGELES, CA 90017-1209
(213) 368-1888
Mailing address
515 COLUMBIA AVE STE 310, LOS ANGELES, CA 90017-1209
(213) 368-1888
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
05/18/2026
Last updated
05/26/2026
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