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NPI Code Detail

MEDICARE: EBONY THOMAS MORGAN LVN

MEDICARE: EBONY THOMAS MORGAN LVN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2164X00000XLicensed Vocational NurseLVN233291CA

General Provider Information

NPI Number : 1437475647
Entity Type Code : Individual
Provider Name (Legal Business Name) : EBONY THOMAS MORGAN LVN
Provider Business Mailing Address
First Line : 423 N HOOVER ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-2306
Country : US
Telephone Number : 323-300-1830
Fax Number :
Provider Business Practice Location Address
First Line : 11027 BURBANK BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-2431
Country : US
Telephone Number : 818-985-8323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 09/21/2023

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