Individual
GLADYS MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(323) 463-2119
Mailing address
815 N. EL CENTRO AVE, LOS ANGELES, CA 90038
(323) 463-2119
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
11/19/2025
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