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Individual

LUIS ADALBERTO MORENO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3810 E FLAMINGO RD, LAS VEGAS, NV 89121-6227
(818) 515-7035
Mailing address
11700 W CHARLESTON BLVD, LAS VEGAS, NV 89135-1573
(818) 515-7035

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24727
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
24727
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A72309
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A723090
CA
Enumeration date
04/22/2006
Last updated
03/10/2025
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