Healthcare Provider Details

I. General information

NPI: 1811759012
Provider Name (Legal Business Name): JOHN MORSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21519 MENLO AVE
TORRANCE CA
90502-1925
US

IV. Provider business mailing address

21519 MENLO AVE
TORRANCE CA
90502-1925
US

V. Phone/Fax

Practice location:
  • Phone: 213-460-8934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW139986
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: