Provider Demographics
NPI:1356473383
Name:MORGAN, JUSTIN V (MD)
Entity Type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:V
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1301 PIERCE ST
Mailing Address - Street 2:MAXINE HALL HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-4005
Mailing Address - Country:US
Mailing Address - Phone:415-292-1300
Mailing Address - Fax:415-928-6487
Practice Address - Street 1:1301 PIERCE ST
Practice Address - Street 2:MAXINE HALL HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-4005
Practice Address - Country:US
Practice Address - Phone:415-292-1300
Practice Address - Fax:415-928-6487
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80843207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
114827OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
114827OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER