Healthcare Provider Details

I. General information

NPI: 1801239512
Provider Name (Legal Business Name): EMILY ASARO MORELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY MORELL BALKIN M.D.

II. Dates (important events)

Enumeration Date: 04/11/2013
Last Update Date: 08/04/2023
Certification Date: 08/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 16TH ST FL 4 UCSF PEDIATRICS, BOX 0110, ROOM 4551
SAN FRANCISCO CA
94158-2549
US

IV. Provider business mailing address

483 MOLL CT
SONOMA CA
95476-6707
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-6245
  • Fax:
Mailing address:
  • Phone: 510-381-7912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number132966
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA132966
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberA132966
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: