1033972369 NPI number — ATHALIAH AIZEEH CHAR MORELOS

Table of content: ATHALIAH AIZEEH CHAR MORELOS (NPI 1033972369)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033972369 NPI number — ATHALIAH AIZEEH CHAR MORELOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORELOS
Provider First Name:
ATHALIAH AIZEEH CHAR
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033972369
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/31/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 33568
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92163-3568
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-223-7123
Provider Business Mailing Address Fax Number:
619-374-7134

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20900 CORSAIR BLVD BLDG A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAYWARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94545-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-223-7123
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)