Paul Daniel Moreno Sr, SUDCC IV, BA, MA is a
Student In An Organized Health Care Education/training Program based in Corcoran, California. Paul Daniel Moreno Sr is licensed to practice in California (license number ) and his current practice location is
900 Quebec Ave, Corcoran, California. He can be reached at his office (for appointments etc.) via phone at
(559) 992-7100.
NPI number for Paul Daniel Moreno Sr is 1295198992 and his current mailing address is 900 Quebec Ave, Corcoran, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295198992.
Healthcare Provider's Profile
| Full Name | Paul Daniel Moreno Sr |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 900 Quebec Ave, Corcoran, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295198992
- Provider Enumeration Date: 03/30/2016
- Last Update Date: 01/15/2026
Medical Identifiers
Medical identifiers for Paul Daniel Moreno Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295198992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5933 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | A051500118 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 151516 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
| 172V00000X | Community Health Worker | (NU) | 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. Paul Daniel Moreno Sr 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 |
|---|
Paul Daniel Moreno Sr, SUDCC IV, BA, MA
900 Quebec Ave,
Corcoran, CA 93212-9715
Ph: (559) 992-7100 | Paul Daniel Moreno Sr, SUDCC IV, BA, MA
900 Quebec Ave,
Corcoran, CA 93212-9715
Ph: (559) 992-7100 |
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