Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 23649 | CA |
Y | 213EG0000X | General Practice | 23649 | CA |
NPI | 1003024308 |
---|---|
Provider Name | Dr. William W Morgan |
First Address | Van Nuys, CA 91401-3152 |
Second Address | Los Angeles, CA 90095-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 08/07/2007 |