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

Audrey Moreno Medina

Individual provider Marriage & Family Therapist · NPI 1710613161

Audrey Moreno Medina is a Marriage & Family Therapist in Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

402 S Marengo Ave
Pasadena, CA 91101-3113
Phone: (626) 788-2831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 163590 (CA)

Record details

NPI number1710613161
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 28, 2022
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026

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