Individual provider · Type 1 NPI

Marissa Moreno

Rehabilitation Practitioner · Lake Elsinore, CA

NPI number 1952809477 Active

Practice location

600 Central Ave Ste 1
Lake Elsinore, CA 92530-2740

Call (951) 471-1453 Map

Mailing address

2505 E Lakeshore Dr
Lake Elsinore, CA 92530-4446

Other practice locations

  • 600 Central Ave Ste 1, Lake Elsinore, CA 92530-2740 · (951) 279-3222

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1952809477

Marissa Moreno's National Provider Identifier is 1952809477, issued on Jan 30, 2018. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Lake Elsinore, CA. The record was last updated on Sep 8, 2025.