Dr. Jorge Luis Moreno
Homeopath General Practice Physician Family Doctor - Addiction Medicine
420 N Montebello Blvd Suite 300
Montebello
, California 90640-4268
Dr. Jorge Luis Moreno
Homeopath General Practice Physician Family Doctor - Addiction Medicine
420 N Montebello Blvd Suite 300
Montebello
, California 90640-4268
(323) 726-6767
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About
Features
Specialties
- Homeopath
- Family Doctor - Addiction Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Jorge Luis Moreno
- 420 N Montebello Blvd Suite 300
- Montebello, CA
- Zip : 90640-4268
- Fax : (323) 726-6767
- Phone : (323) 726-6289
Second Address
- Dr. Jorge Luis Moreno
- 420 N Montebello Blvd Suite 300
- Montebello, CA
- Zip : 90640-4268
- Fax : (323) 726-6767
- Phone : (323) 726-6289
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 175L00000X | Homeopath | 20A6911 | CA |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 20A6911 | CA |
| Y | 208D00000X | General Practice Physician | 20A6911 | CA |
National Provider Identifier
| NPI | 1306118393 |
|---|---|
| Provider Name | Dr. Jorge Luis Moreno |
| First Address | Montebello, CA 90640-4268 |
| Second Address | Montebello, CA 90640-4268 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2012 |
| Last Update Date | 18/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.