NPI 1629690805
Javier Moreno
Practice location
- Address
- 17707 Studebaker Rd # 208, Cerritos, CA 90703-2640
- Phone
- (562) 402-0677
- Mailing address
- 6034 Fry St APT 8, Bell Gardens, CA 90201-4758
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1629690805
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 May 2020
- Record last updated
- 11 May 2020
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.