David Moreno
Peer Specialist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1023947876
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1023947876
- Entity type
- Individual (NPI-1)
- Name
- David Moreno
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2026
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | CA | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | CA |
Practice location
515 Columbia Ave Ste 310Los Angeles, CA 90017-1209
Phone 213-368-1888
Mailing address
515 Columbia Ave Ste 310Los Angeles, CA 90017-1209
Phone 213-368-1888
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