Provider Demographics
NPI:1295600591
Name:MORALES, BIANCA
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:
Last Name:MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10050 JUNIPER AVE UNIT 62
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-9279
Mailing Address - Country:US
Mailing Address - Phone:323-916-1293
Mailing Address - Fax:
Practice Address - Street 1:10050 JUNIPER AVE UNIT 62
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-9279
Practice Address - Country:US
Practice Address - Phone:323-916-1293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator