Provider Demographics
NPI:1083593362
Name:PARINAS, MOANA MARIE (PTA)
Entity type:Individual
Prefix:
First Name:MOANA MARIE
Middle Name:
Last Name:PARINAS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 GARCES HWY STE 208
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-3658
Mailing Address - Country:US
Mailing Address - Phone:661-642-6337
Mailing Address - Fax:
Practice Address - Street 1:1205 GARCES HWY STE 208
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3658
Practice Address - Country:US
Practice Address - Phone:661-642-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50592225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant