Individual
ANGELA LUISA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 POMONA BLVD, LOS ANGELES, CA 90022-1753
(323) 888-2530
Mailing address
5246 FLORENCE AVE SPC 85, CUDAHY, CA 90201-8505
(323) 602-3492
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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