Abisai Moreno | San Jose, CA • PECOS Search

Abisai Moreno

Social Worker

Behavioral Health & Social Service Providers

1156 N 4th St, San Jose, CA 95112-4900

(510) 270-1150 (209) 642-9781

PECOS Enrollment

Based on the most recent information from CMS, provider Abisai 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 9:43 AM.

Profile Details

Provider ID
1750826368
Provider Type
Individual
Full Name
Moreno, Abisai
Gender
Female

Sole Proprietor
Yes
Enumeration Date
1/5/2017
Last Updated
1/5/2017

Contact Information

Practice Location

1156 N 4th St, San Jose, CA 95112-4900

Unlisted Fax

Mailing Location

989 Bay Terrace Dr, Galt, CA 95632-3462

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer