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NPI Code Detail

MEDICARE: DR. GILBERT MORQUECHO PH.D.

MEDICARE: DR. GILBERT MORQUECHO PH.D.
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
1103TC0700XClinical PsychologistPSY14357CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114067881
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GILBERT MORQUECHO PH.D.
Provider Business Mailing Address
First Line : 10526 DUBNOFF WAY
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3921
Country : US
Telephone Number : 818-755-4950
Fax Number : 818-752-0783
Provider Business Practice Location Address
First Line : 10526 DUBNOFF WAY
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-3921
Country : US
Telephone Number : 818-755-4950
Fax Number : 818-752-0783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 03/14/2013

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