Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DONNIE JAY MORENO I
ActiveDONNIE JAY MORENO I is a Sports Medicine (PM&R) healthcare provider located in PASADENA, California. NPI 1093584815 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · PASADENA, CA
Registration Details
- NPI Number
- 1093584815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2023 (2.6644790204388 yrs)
- Last Updated
- Jan 29, 2024
- Licenses
-
8CB9E (CA)1051707 (CA)1051707 (CA)
Practice Information
- Address
-
462 PRESCOTT STPASADENA, CA, 911042858Browse CA providers · Browse ZIP 91104
- Phone
- 6264852635
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Occupational Therapy Assistant
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.