Individual
GODOFREDO MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(323) 423-0913
Mailing address
4139 NORMAL AVE APT 4, LOS ANGELES, CA 90029-2929
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
05/16/2025
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