Healthcare Provider Details

I. General information

NPI: 1518913581
Provider Name (Legal Business Name): WILLIAM S MORGAN MD FAAP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 03/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 TRAFFIC WAY
ARROYO GRANDE CA
93420-3341
US

IV. Provider business mailing address

154 TRAFFIC WAY
ARROYO GRANDE CA
93420-3341
US

V. Phone/Fax

Practice location:
  • Phone: 805-473-3262
  • Fax: 805-473-3707
Mailing address:
  • Phone: 805-473-3262
  • Fax: 805-473-3707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2223372
License Number StateCA

VIII. Authorized Official

Name: WILLIAM S. MORGAN
Title or Position: PRESIDENT
Credential: MD
Phone: 805-473-3262