MEDICARE: WILLIAM S MORGAN MD FAAP 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	208000000X	Pediatrics Physician	2223372	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ64214Z	OTHER	CA	BLUE SHIELD OF CA GRP PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518913581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM S MORGAN MD FAAP INC

Provider Business Mailing Address
First Line	:	154 TRAFFIC WAY
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3341
Country	:	US
Telephone Number	:	805-473-3262
Fax Number	:	805-473-3707

Provider Business Practice Location Address
First Line	:	154 TRAFFIC WAY
Second Line	:
City	:	ARROYO GRANDE
State	:	CA
Zip	:	93420-3341
Country	:	US
Telephone Number	:	805-473-3262
Fax Number	:	805-473-3707

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM S. MORGAN
Credential	:	MD
Telephone Number	:	805-473-3262

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	03/22/2011

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