DR. JORGE LUIS MORENO D.O. NPI 1306118393

NPI Information

  • NPI: 1306118393
  • Provider Name: DR. JORGE LUIS MORENO, D.O.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 N MONTEBELLO BLVD
    SUITE 300
    MONTEBELLO, CA
    ZIP 90640
  • Phone: (323) 726-6289

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NPI Details

DR. Jorge Luis Moreno, D.O. is a general practice in Montebello, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Jorge Luis Moreno, D.O. NPI is 1306118393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 N MONTEBELLO BLVD
SUITE 300
MONTEBELLO, CA
ZIP 90640-268
Phone: (323) 726-6289
Fax: (323) 726-6767

The NPI 1306118393 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 7/18/2019.

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
1133N00000XNutritionist20A6911CALIFORNIANo
2175L00000XHomeopath20A6911CALIFORNIANo
3207QA0401XFamily MedicineAddiction Medicine20A6911CALIFORNIANo
42083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental Medicine20A6911CALIFORNIANo
5208D00000XGeneral Practice20A6911CALIFORNIAYes
6207QB0002XFamily MedicineObesity Medicine20A6911CALIFORNIANo
7204R00000XElectrodiagnostic Medicine20A6911CALIFORNIANo
8207QS1201XFamily MedicineSleep Medicine20A6911CALIFORNIANo
9172M00000XMechanotherapist20A6911CALIFORNIANo

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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