Organization
MORTON P. ISRAEL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTON PHILIP ISRAEL M.D. (OWNER)
(951) 734-9750
Entity
Organization
Contact information
Practice address
770 MAGNOLIA AVE, SUITE 2D, CORONA, CA 92879-3120
(951) 734-9750
(951) 734-3404
Mailing address
770 MAGNOLIA AVE, SUITE 2D, CORONA, CA 92879-3120
(951) 734-9750
(951) 734-3404
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
G019795
CA
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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