Individual
CARLA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 S MAIN ST STE 525, ORANGE, CA 92868-4553
(714) 456-5631
(714) 285-0389
Mailing address
PO BOX 661313, LOS ANGELES, CA 90066-9313
(714) 456-5631
(714) 285-0389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A165314
CA
Other
Enumeration date
03/20/2018
Last updated
12/10/2021
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