Moreno, Luis Adalberto

Moreno, Luis Adalberto is an individual health care provider with primary practice located at 1600 W Avenue J , Lancaster CA 93534-2814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Moreno, Luis Adalberto can be contacted via phone (661) 949-5000.

Contact Information

Primary practice address
1600 W Avenue J Lancaster CA 93534-2814
Phone: (661) 949-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X A72309 California

Profile Details

NPI number 1477519163
LBN Legal business name Moreno, Luis Adalberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2006
Last updated Dec 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477519163 NPPES
California MEDICAID 00A723090

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