MEDICARE: MS. SYLVIA LEE MORGAN M.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
1	174400000X	Specialist	A65899	CA
2	174400000X	Specialist	A065899	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1124020409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SYLVIA LEE MORGAN M.D.

Provider Business Mailing Address
First Line	:	191 SAN FELIPE RD STE P
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-3036
Country	:	US
Telephone Number	:	831-634-4666
Fax Number	:	831-634-4669

Provider Business Practice Location Address
First Line	:	191 SAN FELIPE RD STE P
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-3036
Country	:	US
Telephone Number	:	831-634-4666
Fax Number	:	831-634-4669

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	02/10/2017

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