Healthcare Provider Details

I. General information

NPI: 1548188816
Provider Name (Legal Business Name): ANGELA PILAR MORENO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 E VALLEY PKWY
ESCONDIDO CA
92025-2762
US

IV. Provider business mailing address

157 E VALLEY PKWY
ESCONDIDO CA
92025-2762
US

V. Phone/Fax

Practice location:
  • Phone: 760-546-2838
  • Fax:
Mailing address:
  • Phone: 760-546-2838
  • Fax: 760-294-2980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: