MEDICARE: MORGAN LYNN MURAD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number
1	175T00000X	Peer Specialist
2	172V00000X	Community Health Worker
3	171M00000X	Case Manager/Care Coordinator	NA
4	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1912727082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORGAN LYNN MURAD

Provider Business Mailing Address
First Line	:	42600 COOK ST STE 100
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-5122
Country	:	US
Telephone Number	:	760-773-7044
Fax Number	:	760-773-7045

Provider Business Practice Location Address
First Line	:	42600 COOK ST STE 100
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-5122
Country	:	US
Telephone Number	:	760-773-7044
Fax Number	:	760-773-7045

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

Provider Enumeration Date	:	10/14/2024
Last Update Date	:	07/23/2025

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