Healthcare Provider Details

I. General information

NPI: 1750244778
Provider Name (Legal Business Name): JOSE GUADALUPE MORELOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SALINAS RD
ROYAL OAKS CA
95076-5229
US

IV. Provider business mailing address

294 GREEN VALLEY RD
WATSONVILLE CA
95076-1300
US

V. Phone/Fax

Practice location:
  • Phone: 831-728-6238
  • Fax:
Mailing address:
  • Phone: 831-728-6238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: