Organization Active NPI

Kathleen a Moreno MD

  • Child & Adolescent Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1205993714
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G77109 Issued in CA
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

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kathleen A Moreno, MDNPI 1326217662
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X G77109 CA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.