Morgan, Jack
Morgan, Jack is an sole proprietor health care provider with primary practice located at 500 N Garfield Ave Ste 108, Monterey Park CA 91754-1242. He recently has 6 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Morgan, Jack can be contacted via phone (626) 288-2760.Contact Information
Primary practice address
500 N Garfield Ave Ste 108
Monterey Park CA 91754-1242
Phone: (626) 288-2760
Fax: (626) 571-6211
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E1613 | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E1613 | California |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | E1613 | California |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | E1614 | California |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E1613 | California |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E1613 | California |
Profile Details
| NPI number | 1669475489 |
|---|---|
| LBN Legal business name | Morgan, Jack |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2005 |
| Last updated | Oct 15th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669475489 | NPPES |
| California | MEDICAID | 000E16131 |
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