Fred Jefferson Moreno
Fred Jefferson Moreno is a Case Management Agency in Gardena, California. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
152 W Walnut St Ste 150Gardena, CA 90248-3141
Phone: (310) 763-1660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|
Record details
| NPI number | 1962954024 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Darryl Sewell — Cto/Program Director · (310) 929-0738 |
| Other names | Fred Jefferson M Aftercare |
| NPI enumerated | October 25, 2016 |
| Last updated in NPPES | October 25, 2016 |
| Mailing address | 12981 Perris Blvd, Suite 107, Moreno Valley, CA 92553-4102 |
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