Individual provider · Type 1 NPI

Antonio De Jesus Moreno, BA

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

NPI number 1215739636 Active

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Call (619) 543-3534 Map

Fax (619) 543-7898

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 1215739636

Antonio De Jesus Moreno, BA's National Provider Identifier is 1215739636, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Jun 12, 2026.