Healthcare Provider Details

I. General information

NPI: 1497147805
Provider Name (Legal Business Name): MORGAN ELIZABETH FULLERTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2015
Last Update Date: 03/27/2023
Certification Date: 01/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27107 TOURNEY RD
SANTA CLARITA CA
91355-1860
US

IV. Provider business mailing address

27107 TOURNEY RD
SANTA CLARITA CA
91355-1860
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 833-574-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA134545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: