Provider Demographics
NPI:1073757787
Name:MORRIS HALFON MD INC
Entity Type:Organization
Organization Name:MORRIS HALFON MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HALFON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-785-8200
Mailing Address - Street 1:13746 VICTORY BLVD
Mailing Address - Street 2:#106
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-6716
Mailing Address - Country:US
Mailing Address - Phone:818-785-8200
Mailing Address - Fax:818-785-8203
Practice Address - Street 1:13746 VICTORY BLVD
Practice Address - Street 2:#106
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6716
Practice Address - Country:US
Practice Address - Phone:818-785-8200
Practice Address - Fax:818-785-8203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2010-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA27935208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABH178ZMedicare PIN