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FRED JEFFERSON MORENO NPI 1962954024


NPI Information

NPI: 1962954024
Provider Name: FRED JEFFERSON MORENO

Doing Business As: FRED JEFFERSON M AFTERCARE

Classification: Case Management - 251B00000X
Entity Type: Organization
Address:
152 W WALNUT ST
SUITE 150
GARDENA, CA
ZIP 90248
Phone: (310) 763-1660
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FRED JEFFERSON MORENO is a case management in Gardena, CA. The provider is an organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. FRED JEFFERSON MORENO NPI is 1962954024. The provider is registered as an organization entity type.
The provider Is Doing Business As Fred Jefferson M Aftercare.

The provider's business location address is:

152 W WALNUT ST
SUITE 150
GARDENA, CA
ZIP 90248-141
Phone: (310) 763-1660

The provider's authorized official is Darryl Sewell .
The authorized official title is Cto/program Director and has the following contact phone number (310) 929-0738.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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