Healthcare Provider Details

I. General information

NPI: 1043987399
Provider Name (Legal Business Name): LUZ MARIA MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 H ST
BAKERSFIELD CA
93301-1913
US

IV. Provider business mailing address

2821 H ST
BAKERSFIELD CA
93301-1913
US

V. Phone/Fax

Practice location:
  • Phone: 661-546-6365
  • Fax:
Mailing address:
  • Phone: 661-546-6365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: