Individual
ANTONIO DE JESUS MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-3534
(619) 543-7898
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-3534
(619) 543-7898
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
06/12/2026
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