Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A048365 | CA |
NPI | 1467537092 |
---|---|
Provider Name | Arlene Morales |
First Address | San Diego, CA 92123-2778 |
Second Address | San Diego, CA 92123-2778 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E99573 | (02) | CA |