MEDICARE: KARINA MORALES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	174400000X	Specialist

General Provider Information

NPI Number	:	1285489013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARINA MORALES

Provider Business Mailing Address
First Line	:	4916 63RD ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-5804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4916 63RD ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95820-5804
Country	:	US
Telephone Number	:	626-438-8790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	03/17/2025

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Directions to “ KARINA MORALES ” Practice Location

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