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Individual

DR. JACK MORGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
500 N GARFIELD AVE, STE 108, MONTEREY PARK, CA 91754-1242
(626) 288-2760
(626) 571-6211
Mailing address
500 N GARFIELD AVE, STE 108, MONTEREY PARK, CA 91754-1242
(626) 288-2760
(626) 571-6211

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E1613
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E1613
CA
213ER0200X
Radiology Podiatrist
E1614
CA
213ES0000X
Sports Medicine Podiatrist
E1613
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E1613
CA
213ES0131X
Foot Surgery Podiatrist
Primary
E1613
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E16131
CA
Enumeration date
05/24/2005
Last updated
10/15/2012
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