Organization
JACK MORGAN, DPM, INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MORGAN DPM (PRESIDENT)
(626) 288-2760
Entity
Organization
Contact information
Practice address
500 N GARFIELD AVE, 108, MONTEREY PARK, CA 91754-1242
(626) 288-2760
(626) 571-6211
Mailing address
500 N GARFIELD AVE, 108, MONTEREY PARK, CA 91754-1242
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E16131
—
CA
Enumeration date
12/07/2006
Last updated
12/22/2009
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