Provider Demographics
NPI:1437652724
Name:NAIM, MORGAN SUMMER (DPT)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:SUMMER
Last Name:NAIM
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MORGAN
Other - Middle Name:SUMMER
Other - Last Name:MYMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:23521 PASEO DE VALENCIA
Mailing Address - Street 2:B7
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3014
Mailing Address - Country:US
Mailing Address - Phone:949-627-8800
Mailing Address - Fax:949-627-8801
Practice Address - Street 1:23521 PASEO DE VALENCIA
Practice Address - Street 2:B7
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-597-0007
Practice Address - Fax:949-597-0040
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT294220225100000X
CA294220225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist