NPI 1275059511

Jeff Moreno

Practitioner Psychoanalyst Los Angeles, CA

Practice location

Address: 550 Vermount Ave, Los Angeles, CA 90023
Phone: (818) 610-6764
Mailing address: 6800 Owensmouth Ave, Canoga Park, CA 91303-3159

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence LMFT89420 (CA)

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Registry record

NPI: 1275059511
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2017
Record last updated: 16 Jun 2018

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.