Provider Demographics
NPI:1386006542
Name:MORTON, ISABELLA (MD)
Entity Type:Individual
Prefix:
First Name:ISABELLA
Middle Name:
Last Name:MORTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22543 VENTURA BLVD
Mailing Address - Street 2:STE 220 PMB
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1403
Mailing Address - Country:US
Mailing Address - Phone:323-649-5176
Mailing Address - Fax:310-825-0340
Practice Address - Street 1:1849 SAWTELLE BLVD STE 610
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-7013
Practice Address - Country:US
Practice Address - Phone:323-649-5176
Practice Address - Fax:310-825-0340
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1545102084P0800X, 174400000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist