Most Relevant Information
Provider Data
| NPI Number: | 1003551748 |
| Provider Name: | ERENDIDA MORENO |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/27/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
867 N FAIR OAKS AVE
PASADENA
CA
911033050
Practice Location Phone/Fax
| Phone: | 6269933100 |
| Fax: |
Provider Mailing Location
760 MOUNTAIN VIEW ST
ALTADENA
CA
910014996
Provider Mailing Phone/Fax
| Phone: | 6267986793 |
| Fax: |