KATHLEEN A MORENO MD
NPI 1205993714
Psychiatry & Neurology - Child & Adolescent Psychiatry in Los Angeles, CA
- Organization
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
About KATHLEEN A MORENO MD
This page provides the complete NPI Profile along with additional information for Kathleen A Moreno Md, a provider established in Los Angeles, California operating as a Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1205993714 assigned on January 2007. The practitioner's primary taxonomy code is 2084P0804X with license number G77109 (CA). The provider is registered as an organization and their NPI record was last updated one year ago. Kathleen A Moreno Md operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kathleen A Moreno Md (Child Adolescent And Adult Psychiat)
- NPI
- 1205993714 Verify this NPI
- Provider Name
- KATHLEEN A MORENO MD
- Entity Type
- Organization
- Location Address
- 1081 WESTWOOD BLVD SUITE 212 LOS ANGELES, CA 90024
- Location Phone
- (310) 208-7558
- Location Fax
- (210) 208-6448
- Mailing Address
- 1081 WESTWOOD BLVD SUITE 212 LOS ANGELES, CA 90024
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-03-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G77109
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | G77109 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
LOS ANGELES, CA 90024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205993714, enumerated as an "organization" on January 03, 2007.
The provider is located at 1081 WESTWOOD BLVD SUITE 212 LOS ANGELES, CA 90024 and the phone number is (310) 208-7558.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.