Isaias Moreno, is a
Student In An Organized Health Care Education/training Program based in Ontario, California. Isaias Moreno is licensed to practice in California (license number ) and his current practice location is
1556 S Sultana Ave, Ontario, California. He can be reached at his office (for appointments etc.) via phone at
(909) 418-6923.
NPI number for Isaias Moreno is 1093565608 and his current mailing address is 1556 S Sultana Ave, Ontario, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093565608.
Healthcare Provider's Profile
| Full Name | Isaias Moreno |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1556 S Sultana Ave, Ontario, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1093565608
- Provider Enumeration Date: 03/26/2024
- Last Update Date: 10/07/2025
Medical Identifiers
Medical identifiers for Isaias Moreno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093565608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
| 171400000X | Health & Wellness Coach | 449B172AB8 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Isaias Moreno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Isaias Moreno,
1556 S Sultana Ave,
Ontario, CA 91761-4238
Ph: (909) 418-6923 | Isaias Moreno,
1556 S Sultana Ave,
Ontario, CA 91761-4238
Ph: (909) 418-6923 |
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