Morales, Javier

Morales, Javier is an individual health care provider with primary practice located at 2080 S E St , San Bernardino CA 92408-2773. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Morales, Javier can be contacted via phone (909) 388-9191.

Contact Information

Primary practice address
2080 S E St San Bernardino CA 92408-2773
Phone: (909) 388-9191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X I2002505 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1053516039
LBN Legal business name Morales, Javier
Credentials REGISTERED ALCOHOL
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jan 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053516039 NPPES
California MEDICAID 1124100383

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