Provider Demographics
NPI:1689107500
Name:MARGIE MORENO INTERPRITING SERVICES
Entity type:Organization
Organization Name:MARGIE MORENO INTERPRITING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERPRETER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:
Authorized Official - Credentials:INTERPRETER
Authorized Official - Phone:909-868-1160
Mailing Address - Street 1:675 N. PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768
Mailing Address - Country:US
Mailing Address - Phone:909-868-1160
Mailing Address - Fax:
Practice Address - Street 1:675 NORTH PARK AVENUE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768
Practice Address - Country:US
Practice Address - Phone:909-868-1160
Practice Address - Fax:909-469-6086
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARGIE MORENO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500077251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA500077OtherINTERPRETER