Individual provider · Type 1 NPI

Emely Moreno

Student in an Organized Health Care Education/Training Program · San Fernando, CA

NPI number 1114801818 Active

Practice location

566 S Brand Blvd
San Fernando, CA 91340-4002

Mailing address

10930 Orion Ave
Mission Hills, CA 91345-1336

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114801818

Emely Moreno's National Provider Identifier is 1114801818, issued on Aug 5, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Fernando, CA. The record was last updated on Aug 19, 2025.