MEDICARE: ARMIN JULIO MORALES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	172V00000X	Community Health Worker
3	175T00000X	Peer Specialist	MPSS-FBVACP	CA

General Provider Information

NPI Number	:	1851750475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARMIN JULIO MORALES

Provider Business Mailing Address
First Line	:	3628 MADISON AVE STE 7
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-5070
Country	:	US
Telephone Number	:	916-333-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3628 MADISON AVE STE 7
Second Line	:
City	:	NORTH HIGHLANDS
State	:	CA
Zip	:	95660-5070
Country	:	US
Telephone Number	:	916-567-4222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2016
Last Update Date	:	05/23/2025

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