Provider Demographics
NPI:1083091490
Name:MORALES, JOSEPHINE INEZ (DC)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:INEZ
Last Name:MORALES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5080 CAMINO DEL ARROYO APT 126
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3195
Mailing Address - Country:US
Mailing Address - Phone:619-738-0634
Mailing Address - Fax:
Practice Address - Street 1:5080 CAMINO DEL ARROYO APT 126
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3195
Practice Address - Country:US
Practice Address - Phone:619-738-0634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA796438163W00000X
NY70012658111N00000X
NY22620995163W00000X
CA33290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No163W00000XNursing Service ProvidersRegistered Nurse