Individual
EDWARD MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3761 STOCKER ST, SUITE 106, VIEW PARK, CA 90008-5111
(818) 430-6042
Mailing address
3761 STOCKER ST, SUITE 106, VIEW PARK, CA 90008-5111
(818) 430-6042
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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