Provider Demographics
NPI:1174632939
Name:MORALES, WILSON AOIGAN (MD)
Entity Type:Individual
Prefix:
First Name:WILSON
Middle Name:AOIGAN
Last Name:MORALES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16660 PARAMOUNT BLVD
Mailing Address - Street 2:STE # 309
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723
Mailing Address - Country:US
Mailing Address - Phone:562-634-1049
Mailing Address - Fax:562-634-6149
Practice Address - Street 1:16660 PARAMOUNT BLVD
Practice Address - Street 2:STE # 309
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723
Practice Address - Country:US
Practice Address - Phone:562-634-1049
Practice Address - Fax:562-634-6149
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA35877207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology