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

Jeremy Queruel Moreno

Individual provider Case Manager/Care Coordinator · NPI 1275390882

Jeremy Queruel Moreno is a Case Manager/Care Coordinator in Lakeport, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1510 Argonaut Rd
Lakeport, CA 95453-9361
Phone: (707) 263-5819
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (CA)

Record details

NPI number1275390882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 29, 2024
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 26, 2024

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