Healthcare Provider Details

I. General information

NPI: 1942617360
Provider Name (Legal Business Name): MORGAN WELEBIR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2014
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 WILSON TER STE 130
GLENDALE CA
91206-4074
US

IV. Provider business mailing address

1505 WILSON TER STE 130
GLENDALE CA
91206-4074
US

V. Phone/Fax

Practice location:
  • Phone: 818-247-5845
  • Fax: 818-545-9446
Mailing address:
  • Phone: 818-247-5845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberA155810
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: