Israel, Morton Philip

Israel, Morton Philip is an sole proprietor health care provider with primary practice located at 770 Magnolia Ave Suite 1X, Corona CA 92879-3120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Israel, Morton Philip can be contacted via phone (951) 734-9750.

Contact Information

Primary practice address
770 Magnolia Ave Suite 1X Corona CA 92879-3120
Phone: (951) 734-9750
Fax: (951) 734-3404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G19795 California
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 0788400001 California

Profile Details

NPI number 1902817158
LBN Legal business name Israel, Morton Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated Nov 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902817158 NPPES
California MEDICAID 00G197950

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