Elizabeth Pauline Moreno, CCMA Valid NPI

Individual provider · Medical Physician Assistant · Campo, CA

NPI

1164368775

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

CMAC-5847 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2026-04-27

Last updated

2026-04-27