| Organization Name: | WILSON A MORALES MD INC |
| NPI Number: | 1124193115 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILSON A MORALES (PRESIDENT CEO) |
| Mailing Address: | 16660 Paramount Blvd Suite 309 Paramount |
| State: | CA US |
| Postal Code: | 90723 |
| Phone Number: | 5626341049 |
| Fax Number: | 5626346149 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | A35877 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |