Moreno, Mirtha

Moreno, Mirtha is an individual health care provider with primary practice located at 12510 Van Nuys Blvd. Suite 201, Pacoima CA 91331. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Moreno, Mirtha can be contacted via phone (626) 395-7100.

Contact Information

Primary practice address
12510 Van Nuys Blvd. Suite 201 Pacoima CA 91331
Phone: (626) 395-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1326260878
LBN Legal business name Moreno, Mirtha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated May 24th, 2013 - about 11 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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