Active NPI
Kathleen a Moreno MD
- Child & Adolescent Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1205993714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G77109
- Legal business name
- KATHLEEN A MORENO MD
- Practice address
- 1081 Westwood Blvd
Suite 212
Los Angeles, CA 90024 - Phone
- (310) 208-7558
- Fax
- (210) 208-6448
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen A Moreno, MD
- Title
- Child Adolescent and Adult Psychiat
- Phone
- (310) 208-7558
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G77109 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | G77109 | CA | Primary |
Addresses
Primary practice location
1081 Westwood Blvd
Suite 212
Los Angeles, CA 90024
Mailing address
1081 Westwood Blvd
Suite 212
Los Angeles, CA 90024
National Provider Directory
National Provider DirectoryLocations
1081 Westwood Blvd
Ste 212
Los Angeles, CA 90024
Phone (225) 362-1419
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Los Angeles, CA
- NPI 1326217662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1205993714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 WESTWOOD BLVD",
"address_2": "SUITE 212",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 WESTWOOD BLVD",
"address_2": "SUITE 212",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-208-7558",
"fax_number": "210-208-6448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN A MORENO MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHILD ADOLESCENT AND ADULT PSYCHIAT",
"authorized_official_telephone_number": "310-208-7558",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G77109",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G77109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Eric Michael Katende
- Laura Kater, AMFT
- Jennifer Elaine Kates
- Veeral Katheria, DO,MS
- Sathiji Kathiresu Nageshwaran, MBBS PHD
- Kathleen a Whooley PT Ocs (Larchmont Physical Therapy)
- Kathleen Jordan MD PC (Tia Silver Lake)
- Kathryn Tull Inc
- Kathy K Barrett, Ma, Marriage & Family Therapist, Apc
- Ashley Deborah Katibian, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.