Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G60019 | CA |
N | 111NI0900X | Internist | G60019 | CA |
N | 207RH0000X | Hematologist | G60019 | CA |
Y | 207RX0202X | Medical Oncology | G60019 | CA |
NPI | 1285741223 |
---|---|
Provider Name | Dr. Robert Morgan |
First Address | Glendora, CA 91741-3815 |
Second Address | Glendora, CA 91741-3815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 07/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G600190 | (05) | CA |
E96658 | (02) |