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

Shura A Moreno, MD

Individual provider Internal Medicine Physician · NPI 1174542716

Shura A Moreno, MD is an Internal Medicine in Los Angeles, California. Graduated from University of California, Irvine, California College of Medicine in 2000, 26 years ago. Practices with St Joseph Multi-Specialty Clinic Corp, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4146 E Olympic Blvd Ste B
Los Angeles, CA 90023-3347
Phone: (323) 262-9943
Fax: (323) 262-3708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A78052 (CA)

Record details

NPI number1174542716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESOctober 16, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice St Joseph Multi-Specialty Clinic Corp — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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