Healthcare Provider Details

I. General information

NPI: 1508924689
Provider Name (Legal Business Name): JEFFREY SCOTT MORGAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 11/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3177 OCEAN VIEW BLVD COMPREHENSIVE HEALTH CENTER - METRO
SAN DIEGO CA
92113-1498
US

IV. Provider business mailing address

1275 30TH ST COMPREHENSIVE HEALTH CENTER - METRO
SAN DIEGO CA
92154-3476
US

V. Phone/Fax

Practice location:
  • Phone: 619-662-4100
  • Fax: 619-232-5922
Mailing address:
  • Phone: 619-662-4100
  • Fax: 619-428-7952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG49962
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: