KATHLEEN A MORENO MD NPI 1205993714

NPI Information

  • NPI: 1205993714
  • Provider Name: KATHLEEN A MORENO MD
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • Address: 1081 WESTWOOD BLVD
    SUITE 212
    LOS ANGELES, CA
    ZIP 90024
  • Phone: (310) 208-7558

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NPI Details

KATHLEEN A MORENO MD is a child and adolescent psychiatry psychiatry neurology in Los Angeles, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. KATHLEEN A MORENO MD NPI is 1205993714. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1081 WESTWOOD BLVD
SUITE 212
LOS ANGELES, CA
ZIP 90024
Phone: (310) 208-7558
Fax: (210) 208-6448

The provider's authorized official is Kathleen A Moreno .
The authorized official title is Child Adolescent And Adult Psychiat and has the following contact phone number (310) 208-7558.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryG77109CALIFORNIANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryG77109CALIFORNIAYes

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: 11/21/2025

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