Provider Demographics
NPI:1184849903
Name:MORGAN, MELVIN DAILEY (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:DAILEY
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8306 WILSHIRE BLVD
Mailing Address - Street 2:# 150
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2304
Mailing Address - Country:US
Mailing Address - Phone:323-658-8508
Mailing Address - Fax:310-474-0046
Practice Address - Street 1:1800 FAIRBURN AVE
Practice Address - Street 2:# 101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5958
Practice Address - Country:US
Practice Address - Phone:323-658-8508
Practice Address - Fax:310-474-0046
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2013-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC-366152084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry