Provider Demographics
NPI:1154899821
Name:GARCIA-MORALES, ADAM
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:GARCIA-MORALES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 S TOWNSEND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-2439
Mailing Address - Country:US
Mailing Address - Phone:480-213-2971
Mailing Address - Fax:
Practice Address - Street 1:216 S TOWNSEND AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-2439
Practice Address - Country:US
Practice Address - Phone:480-213-2971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-11
Last Update Date:2018-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist