MEDICARE: ROSA MORALES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	126800000X	Dental Assistant	45115	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45115	OTHER		RDA LICENSE

General Provider Information

NPI Number	:	1891005997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSA MORALES

Provider Business Mailing Address
First Line	:	6918 JORDAN AVE
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-1904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15350 NORDHOFF ST STE A
Second Line	:
City	:	NORTH HILLS
State	:	CA
Zip	:	91343-2234
Country	:	US
Telephone Number	:	818-672-8228
Fax Number	:

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

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	10/07/2010

Similar Medicare Providers

1326053331 — WALGREEN CO
Practice Location Address:

15316 NORDHOFF ST
NORTH HILLS, CA
91343-2234

Practice Phone: 818-892-4249
Practice Fax:

1750573366 — REZA MALEKZADEH
Practice Location Address:

15350 NORDHOFF ST , SUITE A&B
NORTH HILLS, CA
91343-2234

Practice Phone: 818-672-8228
Practice Fax:

1467743419 — GUADALUPE SANCHEZ
Practice Location Address:

15350 NORDHOFF ST , SUITE A
NORTH HILLS, CA
91343-2234

Practice Phone: 818-672-8228
Practice Fax:

1316229925 — MINH CHAU NGUYEN-VU
Practice Location Address:

15316 NORDHOFF ST
NORTH HILLS, CA
91343-2234

Practice Phone: 818-892-4249
Practice Fax:

1609159235 — MRS. ROLA METHOD
Practice Location Address:

15316 NORDHOFF ST
NORTH HILLS, CA
91343-2234

Practice Phone: 818-892-4249
Practice Fax: 818-892-6273

1356689962 — BOBBIE ANNE LINSTRUM RDA
Practice Location Address:

15350 NORDHOFF ST , A
NORTH HILLS, CA
91343-2234

Practice Phone: 818-672-8228
Practice Fax:

Directions to “ ROSA MORALES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.