Organization
EUGENE MORONG, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE MORONG M.D. (OWNER/PHYSICIAN)
(661) 945-9554
Entity
Organization
Contact information
Practice address
43301 DIVISION ST, SUITE 104, LANCASTER, CA 93535-4647
(661) 945-9554
(661) 948-3484
Mailing address
43301 DIVISION ST, SUITE 104, LANCASTER, CA 93535-4647
(661) 945-9554
(661) 948-3484
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A24890
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A248900
—
CA
Enumeration date
11/29/2010
Last updated
11/29/2010
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