MEDICARE: DR. JESSICA NICOLE MORGAN D.C.

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	111N00000X	Chiropractor	32657	CA

General Provider Information

NPI Number	:	1285061655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA NICOLE MORGAN D.C.

Provider Business Mailing Address
First Line	:	25409 NARBONNE AVE
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-2125
Country	:	US
Telephone Number	:	310-784-8844
Fax Number	:

Provider Business Practice Location Address
First Line	:	25409 NARBONNE AVE
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-2125
Country	:	US
Telephone Number	:	310-784-8844
Fax Number	:	310-530-1913

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

Provider Enumeration Date	:	10/01/2013
Last Update Date	:	01/27/2014

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