Maria Teresa Casas

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Moorpark, CA

NPI 1235547837 · NPPES record last updated Jul 27, 2014

Key facts

NPI
1235547837
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
A7812899 (CA)
Practice address
4145 Brookcrest CT
Moorpark, CA 93021-3724
Phone
(805) 907-1089
NPI assigned
Jul 27, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A7812899CAMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X A7812899 CA Yes

Addresses

Primary practice location

4145 Brookcrest CT
Moorpark, CA 93021-3724

Mailing address

4145 Brookcrest CT
Moorpark, CA 93021-3724
Phone (805) 907-1089

Other providers in Moorpark, CA

All providers in Moorpark, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.