Healthcare Provider Details

I. General information

NPI: 1417502204
Provider Name (Legal Business Name): MORALES HOLISTIC HEALTH CENTER A CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8358 FLORENCE AVE
DOWNEY CA
90240-3917
US

IV. Provider business mailing address

8358 FLORENCE AVE
DOWNEY CA
90240-3917
US

V. Phone/Fax

Practice location:
  • Phone: 562-622-4444
  • Fax:
Mailing address:
  • Phone: 562-622-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLINA MORALES
Title or Position: INCORPORATED OWNER/PROVIDER
Credential: D.C.
Phone: 562-622-4444