Individual
MORTON PHILIP ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
770 MAGNOLIA AVE, SUITE 1X, CORONA, CA 92879-3120
(951) 734-9750
(951) 734-3404
Mailing address
770 MAGNOLIA AVE, SUITE 1X, CORONA, CA 92879-3120
(951) 734-9750
(951) 734-3404
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G19795
CA
332H00000X
Eyewear Supplier
0788400001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G197950
—
CA
Enumeration date
08/11/2006
Last updated
11/09/2007
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