Individual
ELIOENAI ANGEL MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354
(909) 558-7698
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A195973
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2021
Last updated
10/08/2024
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