RAYMOND SETH MORENO
NPI 1104341528
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA
Active since August 07, 2017
About Raymond Seth Moreno NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAYMOND SETH MORENO (NPI 1104341528) is an individual addiction (substance use disorder) provider in San Pedro, California and active in the NPI registry since August 2017.
NPPES Registry Identity
NPI1104341528
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameRAYMOND SETH MORENO
Location Address1003 S BEACON STSan Pedro, CA 90731-4324
Mailing Address1003 S Beacon StSan Pedro, CA 90731-4324 · (310) 514-4940
Phone(310) 514-4940
Sole ProprietorYes
Enumeration DateAugust 7, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1104341528 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1003 S BEACON ST, San Pedro, CA 90731
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
1003 S BEACON ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104341528, enumerated as an "individual" on August 07, 2017.
The provider is located at 1003 S BEACON ST SAN PEDRO, CA 90731 and the phone number is (310) 514-4940.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).