NPI 1093584815

Donnie Jay Moreno

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Pasadena, CA

Practice location

Address: 462 Prescott St, Pasadena, CA 91104-2858
Phone: (626) 485-2635
Mailing address: 221 Fremont Ave, South Pasadena, CA 91030

Registered specialties (3)

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 1051707 (CA)

Other Physical Medicine & Rehabilitation providers in California →

Wound Care Registered Nurse

Nursing Service Providers Taxonomy 163WW0000X Licence 8CB9E (CA)

Other Registered Nurse providers in California →

Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 1051707 (CA)

Other Rehabilitation Practitioner providers in California →

Registry record

NPI: 1093584815
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2023
Record last updated: 29 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.