Healthcare Provider Details

I. General information

NPI: 1861958795
Provider Name (Legal Business Name): NORMA EDITH MORALES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 PAINTER AVE
WHITTIER CA
90602-2505
US

IV. Provider business mailing address

305 PARK SHADOW CT
BALDWIN PARK CA
91706-6703
US

V. Phone/Fax

Practice location:
  • Phone: 562-903-7000
  • Fax: 562-693-1805
Mailing address:
  • Phone: 626-539-0976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: