Individual
MR. JOHNNY MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1688 N PERRIS BLVD STE H4, PERRIS, CA 92571-4746
(951) 657-7876
(951) 657-5799
Mailing address
PO BOX 52142, RIVERSIDE, CA 92517-3142
(951) 454-4186
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2016
Last updated
07/16/2021
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