Healthcare Provider Details

I. General information

NPI: 1831805332
Provider Name (Legal Business Name): MORGAN FURTADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32565 GOLDEN LANTERN SUITE B180
DANA POINT CA
92629
US

IV. Provider business mailing address

32565 GOLDEN LANTERN SUITE B180
DANA POINT CA
92629
US

V. Phone/Fax

Practice location:
  • Phone: 714-552-1317
  • Fax: 714-782-5611
Mailing address:
  • Phone: 714-552-1317
  • Fax: 714-782-5611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: