MEDICARE: MORRIS HALFON MD INC

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	208D00000X	General Practice Physician	A27935	CA

General Provider Information

NPI Number	:	1073757787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRIS HALFON MD INC

Provider Business Mailing Address
First Line	:	13746 VICTORY BLVD
Second Line	:	#106
City	:	VAN NUYS
State	:	CA
Zip	:	91401-6716
Country	:	US
Telephone Number	:	818-785-8200
Fax Number	:	818-785-8203

Provider Business Practice Location Address
First Line	:	13746 VICTORY BLVD
Second Line	:	#106
City	:	VAN NUYS
State	:	CA
Zip	:	91401-6716
Country	:	US
Telephone Number	:	818-785-8200
Fax Number	:	818-785-8203

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MORRIS HALFON
Credential	:	MD
Telephone Number	:	818-785-8200

Provider Enumeration Date	:	04/24/2009
Last Update Date	:	06/19/2010

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