MEDICARE: MORGAN MARIE MANLEY IDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1710I1002X	Independent Duty Corpsman

General Provider Information

NPI Number	:	1003528324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN MARIE MANLEY IDC

Provider Business Mailing Address
First Line	:	1802 WESTWARD HO CIR
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92021-3721
Country	:	US
Telephone Number	:	330-749-8505
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 AREA MEDICAL CLINIC
Second Line	:	BLDG 22190
City	:	CAMP PENDLETON
State	:	CA
Zip	:	92055-5750
Country	:	US
Telephone Number	:	330-749-8505
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	06/09/2023

Similar Medicare Providers

1376823427 — DARRELL CURTIS
Practice Location Address:

395 SAINT JOHNS CHURCH RD STE 202
CAMP HILL, PA
17011-5750

Practice Phone: 717-550-4040
Practice Fax:

1285047159 — DR. SHANE CURTIS DDS
Practice Location Address:

395 SAINT JOHNS CHURCH RD STE 202
CAMP HILL, PA
17011-5750

Practice Phone: 717-550-4040
Practice Fax:

1003530494 — CURTIS ENDODONTICS, PLLC
Practice Location Address:

395 SAINT JOHNS CHURCH RD STE 202
CAMP HILL, PA
17011-5750

Practice Phone: 717-802-6097
Practice Fax:

1396301602 — DR. CODY GARRETT CLAPP MD
Practice Location Address:

PO BOX 555191
CAMP PENDLETON, CA
92055-5191

Practice Phone: 760-725-1356
Practice Fax: 760-725-0117

1598928715 — DR. TAWNY KAEOCHINDA FANNING O.D.
Practice Location Address:

200 MERCY CIRCLE , OPHTHALMOLOGY CLINIC
CAMP PENDLETON, CA
92055

Practice Phone: 760-719-3419
Practice Fax:

1033054291 — IRELAND MADISON NUSBAUM MD
Practice Location Address:

H200 MERCY CIRCLE
CAMP PENDLETON, CA
92055

Practice Phone: 703-268-9656
Practice Fax:

Directions to “ MORGAN MARIE MANLEY IDC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.