Provider Demographics
NPI:1710549803
Name:PARRA-MORALES, KARINA MICHELLE (PA-C)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:MICHELLE
Last Name:PARRA-MORALES
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1220 HIGHLAND AVE # 1433
Mailing Address - Street 2:
Mailing Address - City:DUARTE
Mailing Address - State:CA
Mailing Address - Zip Code:91010-2512
Mailing Address - Country:US
Mailing Address - Phone:626-807-3718
Mailing Address - Fax:
Practice Address - Street 1:2623 E SLAUSON AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-2926
Practice Address - Country:US
Practice Address - Phone:310-698-5452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2022-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA56913363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant