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

Marissa Moreno

Individual provider Rehabilitation Practitioner · NPI 1952809477

Marissa Moreno is a Rehabilitation Practitioner in Lake Elsinore, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

600 Central Ave Ste 1
Lake Elsinore, CA 92530-2740
Phone: (951) 471-1453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Central Ave Ste 1, Lake Elsinore, CA 92530-2740 — (951) 279-3222

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1952809477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2018
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Other providers in Lake Elsinore