Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Moreno

Individual provider Rehabilitation Practitioner · NPI 1194205229

Jonathan Moreno is a Rehabilitation Practitioner in Gardena, California. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

108 W Victoria St
Gardena, CA 90248
Phone: (310) 715-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1194205229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESAugust 20, 2018

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