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NPI Code Detail

MEDICARE: MISS ANGELA MORENO M.A

MEDICARE: MISS ANGELA MORENO M.A
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
1171M00000XCase Manager/Care Coordinator
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1730277856
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANGELA MORENO M.A
Provider Business Mailing Address
First Line : 27261 LAS RAMBLAS STE 220
Second Line :
City : MISSION VIEJO
State : CA
Zip : 92691-6468
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9500 HAVEN AVE STE 100
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-5871
Country : US
Telephone Number : 909-980-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 05/19/2025

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Directions to “ MISS ANGELA MORENO M.A” Practice Location

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