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EDWIN MORENO
NPI 1679086276
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since November 06, 2017
11601 S WESTERN AVE, LOS ANGELES, CA 90047(323) 242-5000 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 16, 2018, Nov 6, 2017 (2 updates tracked since 2017).

About Edwin Moreno NPPES

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

EDWIN MORENO (NPI 1679086276) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since November 2017. He maintains a secondary practice location in Lynwood.

NPPES Registry Identity

NPI1679086276
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameEDWIN MORENO
Location Address11601 S WESTERN AVELos Angeles, CA 90047-5006
Mailing Address11601 S Western AveLos Angeles, CA 90047-5006 · (323) 242-5000
Phone(323) 242-5000
Sole ProprietorNo
Enumeration DateNovember 6, 2017
Last NPPES UpdateJanuary 16, 20182 updates tracked since enumeration
✔ NPI 1679086276 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
11601 S WESTERN AVE, Los Angeles, CA 90047
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Secondary Practice Location 1

Location 111705 Deputy Yamamoto PlLynwood, CA 90262-4031 · Phone (323) 242-5000

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.

CARMEN BRAMASCO
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MARGARET JOHNSON BROWN
Rehabilitation Practitioner
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MANDEE ASHLEIGH DURAN MA
Marriage & Family Therapist
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 240-5000
EDITH CAMPOS
Counselor (Mental Health)
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
IDELLE CARMONA
Day Training/Habilitation Specialist
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
JASON SODENKAMP
Counselor (Addiction (Substance Use Disorder))
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
MICHAEL WAYNE BRAY
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000
DESIREE GONZALEZ
Student in an Organized Health Care Education/Training Program
11601 S WESTERN AVE
LOS ANGELES, CA 90047
Los Angeles County (323) 242-5000

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 Edwin Moreno's NPI number?

The NPI number for Edwin Moreno is 1679086276. It was assigned to this individual provider in the NPPES registry on November 6, 2017.

Where is Edwin Moreno located?

Edwin Moreno practices at 11601 S Western Ave, Los Angeles, CA 90047. The listed phone number is (323) 242-5000.

What is Edwin Moreno's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edwin Moreno was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.