Myrna Moreno
Rehabilitation Practitioner
2500 E Foothill Blvd
Pasadena
, California 91107-3464
Myrna Moreno
Rehabilitation Practitioner
2500 E Foothill Blvd
Pasadena
, California 91107-3464
(626) 564-1613
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Myrna Moreno
- 2500 E Foothill Blvd
- Pasadena, CA
- Zip : 91107-3464
- Phone : (626) 564-1613
Second Address
- Myrna Moreno
- 2500 E Foothill Blvd
- Pasadena, CA
- Zip : 91107-3464
- Phone : (626) 564-1613
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1043545296 |
|---|---|
| Provider Name | Myrna Moreno |
| First Address | Pasadena, CA 91107-3464 |
| Second Address | Pasadena, CA 91107-3464 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2009 |
| Last Update Date | 06/10/2009 |
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.