Healthcare Provider Details

I. General information

NPI: 1194648865
Provider Name (Legal Business Name): ALEKSANDER JOSEPH MORAWIEC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 CORPORATE PLAZA DR
NEWPORT BEACH CA
92660-7918
US

IV. Provider business mailing address

106 VIA PLUMOSA
SAN CLEMENTE CA
92673-6823
US

V. Phone/Fax

Practice location:
  • Phone: 949-759-1840
  • Fax:
Mailing address:
  • Phone: 860-264-7325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: