Individual
DAMIAN ERIC MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(619) 692-8232
Mailing address
400 N PEPPER AVE, COLTON, CA 92324-1801
(619) 692-8232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95243753
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95243753
CA
Other
Enumeration date
01/05/2022
Last updated
04/09/2026
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