Individual
CHRISTIAN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(800) 607-6377
Mailing address
11543 RINCON AVE, SAN FERNANDO, CA 91340-4142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
04/06/2023
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