Individual
CARLOS ADOLFO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
635 S WESTLAKE AVE STE 101, LOS ANGELES, CA 90057-3525
(213) 674-7769
Mailing address
635 S WESTLAKE AVE STE 101, LOS ANGELES, CA 90057-3525
(213) 674-7769
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95005615
CA
Other
Enumeration date
01/11/2017
Last updated
09/02/2023
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