Look up the most recent NPI and PECOS records

Karla Moreno

Dentist

Dental Providers

Blvd Sanchez Taboada 16004-6, Tijuana, Baja California 22010 (Mexico)

PECOS Enrollment

Based on the most recent information from CMS, provider Karla Moreno does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1134720691
Provider Type
Organization
Full Name
Karla Moreno

Subpart
No
Enumeration Date
11/2/2020
Last Updated
11/2/2020

Contact Information

Practice Location

Blvd Sanchez Taboada 16004-6, Tijuana, Baja California 22010 (Mexico)

(664) 252-6200

(866) 272-6924

Mailing Location

4275 Executive Sq Ste 200, La Jolla, CA 92037-1476

Unlisted Phone

Unlisted Fax

Authorized Official

Moreno, Karla (Dentist)

(619) 488-3200

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License Unlisted Issuer

Karla Moreno

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Randal Mejia

Hector Ruiz

Bracamontes, Oscar A

Abdiel Marquez Lopez

Nadya Lopez

Laura Calderon

Guadalupe

Hernandez, Carlos

Hermes Perez

Gomez, Jose E