Healthcare Provider Details

I. General information

NPI: 1033414909
Provider Name (Legal Business Name): SYLVIA MORGAN M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 02/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 SAN FELIPE RD STE P
HOLLISTER CA
95023-3036
US

IV. Provider business mailing address

191 SAN FELIPE RD STE P
HOLLISTER CA
95023-3036
US

V. Phone/Fax

Practice location:
  • Phone: 831-634-4666
  • Fax: 831-634-4669
Mailing address:
  • Phone: 831-634-4666
  • Fax: 831-634-4669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA065899
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA65899
License Number StateCA

VIII. Authorized Official

Name: MS. SYLVIA LEE MORGAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 831-634-4666