Healthcare Provider Details

I. General information

NPI: 1194674739
Provider Name (Legal Business Name): MONICA ELAINE MORALES AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 E 4TH ST
SANTA ANA CA
92705-3818
US

IV. Provider business mailing address

10346 KAUFFMAN AVE
SOUTH GATE CA
90280-6826
US

V. Phone/Fax

Practice location:
  • Phone: 714-543-5437
  • Fax:
Mailing address:
  • Phone: 562-714-1918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number154674
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: