Individual
DR. CYNTHIA DIANE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15361 CENTRAL AVE, CHINO, CA 91710-7608
(909) 363-7171
(909) 363-7676
Mailing address
15361 CENTRAL AVE, CHINO, CA 91710-7608
(909) 363-7171
(909) 363-7676
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A 8031
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX83110
—
CA
Enumeration date
11/25/2005
Last updated
02/10/2020
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