MEDICARE: LETICIA S MORENO LMFT

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
1	106H00000X	Marriage & Family Therapist	152212	CA

General Provider Information

NPI Number	:	1619786050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LETICIA S MORENO LMFT

Provider Business Mailing Address
First Line	:	635 PASEO DEL EMPERADOR
Second Line	:
City	:	CALEXICO
State	:	CA
Zip	:	92231-3302
Country	:	US
Telephone Number	:	760-540-0264
Fax Number	:

Provider Business Practice Location Address
First Line	:	635 PASEO DEL EMPERADOR
Second Line	:
City	:	CALEXICO
State	:	CA
Zip	:	92231-3302
Country	:	US
Telephone Number	:	760-540-0264
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2024
Last Update Date	:	12/31/2024

Similar Medicare Providers

1063080257 — HEIDI LEY
Practice Location Address:

101 HACIENDA DR STE A
CALEXICO, CA
92231-1889

Practice Phone: 442-265-6400
Practice Fax:

1124979984 — EEPF LLC
Practice Location Address:

1121 MILPITAS DR
CALEXICO, CA
92231-3338

Practice Phone: 520-313-8459
Practice Fax:

1265437701 — CITY OF CALEXICO
Practice Location Address:

608 HEBER AVE
CALEXICO, CA
92231-2840

Practice Phone: 760-768-2130
Practice Fax:

1255333035 — MERVAT G. KELADA M.D.
Practice Location Address:

1001 BLAIR AVE
CALEXICO, CA
92231

Practice Phone: 760-768-5055
Practice Fax: 760-768-5037

1710974084 — JULIO CESAR MARTINEZ M.D.
Practice Location Address:

450 E BIRCH ST
CALEXICO, CA
92231-2375

Practice Phone: 760-768-6262
Practice Fax: 760-351-7106

1437122769 — PIONEERS MEMORIAL HEALTHCARE DISTRICT
Practice Location Address:

450 E BIRCH ST
CALEXICO, CA
92231-2375

Practice Phone: 760-768-6262
Practice Fax:

Directions to “ LETICIA S MORENO LMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.