ISBOSET MORENO - NPI 1891240511 - Counselor in San Diego, CA

Q: What is Isboset Moreno's NPI number?

The NPI number for Isboset Moreno is 1891240511. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Q: What is Isboset Moreno's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Isboset Moreno was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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About Isboset Moreno NPPES

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

ISBOSET MORENO (NPI 1891240511) is an individual mental health provider in San Diego, California and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1891240511

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameISBOSET MORENO

Location Address1260 MORENA BLVD STE 100San Diego, CA 92110-3850

Mailing Address1260 Morena Blvd, Suite 100San Diego, CA 92110-3889 · (619) 398-0355

Phone(619) 398-0355

Sole ProprietorNo

Enumeration DateAugust 23, 2016

Last NPPES UpdateAugust 24, 2016

✔ NPI 1891240511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1260 MORENA BLVD STE 100, San Diego, CA 92110

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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.

DAHARLIKA DEGRACIA

Case Manager/Care Coordinator