Active NPI
Leticia Maria Del Moral, LEP
- Psychologist
- Temecula, CA
National Provider Identifier
1568038412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LEP3680
- Practice address
- 33417 Corte Ebano
Temecula, CA 92592-9475 - Phone
- (951) 217-4391
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LEP3680 | CA | Primary |
Addresses
Primary practice location
33417 Corte Ebano
Temecula, CA 92592-9475
Mailing address
33417 Corte Ebano
Temecula, CA 92592-9475
Phone (951) 217-4391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LEP3680 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1568038412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33417 CORTE EBANO",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925929475",
"telephone_number": "951-217-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33417 CORTE EBANO",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925929475",
"telephone_number": "951-217-4391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL MORAL",
"first_name": "LETICIA",
"middle_name": "MARIA",
"credential": "LEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LEP3680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.