Mr Jeffrey Edward Moreno, MA, CCC-SLP | |
23845 Mcbean Pkwy, Valencia, CA 91355-2001 | |
(661) 200-1450 | |
Not Available |
Full Name | Mr Jeffrey Edward Moreno |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 23845 Mcbean Pkwy, Valencia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740843895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 24691 (California) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey Edward Moreno, MA, CCC-SLP 842 Redlen Ave, Whittier, CA 90601-1132 Ph: (626) 688-2603 | Mr Jeffrey Edward Moreno, MA, CCC-SLP 23845 Mcbean Pkwy, Valencia, CA 91355-2001 Ph: (661) 200-1450 |
Natalya Szabo, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28245 Avenue Crocker Ste 220, Valencia, CA 91355 Phone: 661-254-7086 | |
Carol H Subrahmanyam, CCC,SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28093 Smyth Dr, Valencia, CA 91355 Phone: 661-295-0181 Fax: 661-295-9776 | |
Nikki Washlake, M.A., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28093 Smyth Dr, Valencia, CA 91355 Phone: 661-295-0181 Fax: 661-295-9776 | |
Marieke Perone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28212 Kelly Johnson Pkwy Ste 200, Valencia, CA 91355 Phone: 818-501-8352 | |
Rebecca Nicole La Sota, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24930 Avenue Stanford, Valencia, CA 91355 Phone: 661-294-5300 | |
Mrs. Regina Elena Joga, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 27084 Alabastro Dr, Valencia, CA 91354 Phone: 661-510-0785 | |
Mona Zuhdi, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 28093 Smyth Dr, Valencia, CA 91355 Phone: 661-295-0181 Fax: 661-295-9776 |