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SHURA A MORENO MEDICAL CLINIC
NPI 1417156860
Internal Medicine in Los Angeles, CA

Active since July 16, 2007
4146 E OLYMPIC BLVD, SUITE B, LOS ANGELES, CA 90023(323) 262-9948(323) 262-3708 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shura A Moreno Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHURA A MORENO MEDICAL CLINIC (NPI 1417156860) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since July 2007. The organization lists Shura A Moreno, Director, as its authorized official.

NPPES Registry Identity

NPI1417156860
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHURA A MORENO MD
Location Address4146 E OLYMPIC BLVD, SUITE BLos Angeles, CA 90023-3347
Mailing Address4146 E Olympic Blvd, Suite BLos Angeles, CA 90023-3347 · (323) 262-9948 · Fax (323) 262-3708
Phone(323) 262-9948
Fax(323) 262-3708
Organization SubpartNo
Authorized OfficialShura A MorenoDirector · (323) 262-9948
Enumeration DateJuly 16, 2007
✔ NPI 1417156860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4146 E OLYMPIC BLVD, Los Angeles, CA 90023
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Other Names 1

Other NameShura A Moreno Medical Clinic

Other Identifiers 4

Medicaid00A780520CA
Medicare PINW19409CA
Other00A780520CA · Blue Shield Blue Cross
Medicare UPINH99609CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHURA A MORENO MD
Internal Medicine
4146 E OLYMPIC BLVD, SUITE B
LOS ANGELES, CA 90023
Los Angeles County (323) 262-9943
DR. SHAUNA R. LEE D.D.S.
Dentist
4146 E OLYMPIC BLVD, SUITE F
LOS ANGELES, CA 90023
Los Angeles County (323) 269-8007
GABRIEL MEDICAL CENTER INC
Internal Medicine
4146 E OLYMPIC BLVD, UNIT B
LOS ANGELES, CA 90023
Los Angeles County (323) 262-9948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shura A Moreno MD's NPI number?

The NPI number for Shura A Moreno MD is 1417156860. It was assigned to this organization in the NPPES registry on July 16, 2007. The provider is also known as Shura A Moreno Medical Clinic.

Where is Shura A Moreno MD located?

Shura A Moreno MD is located at 4146 E Olympic Blvd Suite B, Los Angeles, CA 90023. The listed phone number is (323) 262-9948.

What is Shura A Moreno MD's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Shura A Moreno MD was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.