MEDICARE: ALLAN R. MORRISON, M.D. INC A PROFESSIONAL CORPORATION

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1811918923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLAN R. MORRISON, M.D. INC A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	4340 OVERLAND AVE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4117
Country	:	US
Telephone Number	:	310-559-4411
Fax Number	:	310-559-5147

Provider Business Practice Location Address
First Line	:	4340 OVERLAND AVE
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-4117
Country	:	US
Telephone Number	:	310-559-4411
Fax Number	:	310-559-5147

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEEPA CHAND
Credential	:
Telephone Number	:	310-559-4411

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	12/15/2016

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