Angel Mora, is a
Student In An Organized Health Care Education/training Program based in Colton, California. Angel Mora is licensed to practice in * (Not Available) (license number ) and his current practice location is
335 E N St, Colton, California. He can be reached at his office (for appointments etc.) via phone at
(951) 454-6844.
NPI number for Angel Mora is 1245864990 and his current mailing address is 431 Mackay Dr, San Bernardino, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245864990.
Healthcare Provider's Profile
| Full Name | Angel Mora |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 335 E N St, Colton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245864990
- Provider Enumeration Date: 03/02/2020
- Last Update Date: 03/22/2023
Medical Identifiers
Medical identifiers for Angel Mora such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245864990 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 1041S0200X | Social Worker - School | (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angel Mora is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Angel Mora,
431 Mackay Dr,
San Bernardino, CA 92408-3222
Ph: (909) 433-9300 | Angel Mora,
335 E N St,
Colton, CA 92324-3432
Ph: (951) 454-6844 |
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