| Doctor Name: | MISS LORENA MORENO |
| NPI Number: | 1013287739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2050 Fairmont Dr San Leandro, CA - 945781001 |
| Business Phone Number: | 5103171444 |
| Business Fax Number: | |
| Mailing Address: | 2275 Arlington Dr, SAN LEANDRO |
| State: | CA |
| Postal Code: | 945781132 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/11/2012 |
| NPI Last Update Date: | 01/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2470A2800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Health Information |
| Taxonomy Specialization: | Assistant Record Technician |
| Taxonomy Definition: | |