Individual
JOSE MORENO CUETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1548 W 60TH ST, LOS ANGELES, CA 90047-1215
(310) 780-8353
Mailing address
1548 W 60TH ST, LOS ANGELES, CA 90047-1215
(310) 780-8353
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
904742754
—
CA
Enumeration date
12/29/2025
Last updated
12/29/2025
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