Individual
MORGAN LOUIS BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-6504
(310) 267-3561
(310) 267-2058
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
A155128
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A155128
CA
Other
Enumeration date
04/15/2015
Last updated
02/11/2022
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