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JACK MORGAN DPM INC A PROFESSIONAL CORPORATION NPI 1114086907


NPI Information

NPI: 1114086907
Provider Name: JACK MORGAN, DPM, INC A PROFESSIONAL CORPORATION
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
500 N GARFIELD AVE
108
MONTEREY PARK, CA
ZIP 91754
Phone: (626) 288-2760
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JACK MORGAN, DPM, INC A PROFESSIONAL CORPORATION is a foot and ankle surgery podiatrist in Monterey Park, CA. JACK MORGAN, DPM, INC A PROFESSIONAL CORPORATION NPI is 1114086907. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 N GARFIELD AVE
108
MONTEREY PARK, CA
ZIP 91754-242
Phone: (626) 288-2760
Fax: (626) 571-6211

The provider's authorized official is Jack Morgan .
The authorized official title is President and has the following contact phone number (626) 288-2760.

The enumeration date for this NPI number is 12/7/2006 and was last updated on 12/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE1613CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WE11844MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2T11008MEDICARE UPINCALIFORNIA
3000E16131MEDICAIDCALIFORNIA
41077520001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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