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NPI Code Detail

MEDICARE: MS. ELANA MELISSA MORENO

MEDICARE: MS. ELANA MELISSA MORENO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1598806176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELANA MELISSA MORENO
Provider Business Mailing Address
First Line : 4602 LONEROCK AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-5769
Country : US
Telephone Number : 661-345-7877
Fax Number :
Provider Business Practice Location Address
First Line : 18200 HIGHWAY 178
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-9510
Country : US
Telephone Number : 661-871-9697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 03/02/2026

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