Healthcare Provider Details

I. General information

NPI: 1477897247
Provider Name (Legal Business Name): L. RICHARD MORGAN, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2012
Last Update Date: 11/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 WILLIAMSBURG LN
CHICO CA
95926-2225
US

IV. Provider business mailing address

18 WILLIAMSBURG LN
CHICO CA
95926-2225
US

V. Phone/Fax

Practice location:
  • Phone: 530-891-1311
  • Fax: 530-891-4932
Mailing address:
  • Phone: 530-891-1311
  • Fax: 530-891-4932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberC23681
License Number StateCA

VIII. Authorized Official

Name: DR. LOREN RICHARD MORGAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 530-891-1311