Provider Demographics
NPI:1508924689
Name:MORGAN, JEFFREY SCOTT (MD)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:MORGAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1275 30TH ST
Mailing Address - Street 2:COMPREHENSIVE HEALTH CENTER - METRO
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-3476
Mailing Address - Country:US
Mailing Address - Phone:619-662-4100
Mailing Address - Fax:619-428-7952
Practice Address - Street 1:3177 OCEAN VIEW BLVD
Practice Address - Street 2:COMPREHENSIVE HEALTH CENTER - METRO
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-1498
Practice Address - Country:US
Practice Address - Phone:619-662-4100
Practice Address - Fax:619-232-5922
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG49962208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F02080Medicare UPIN
CA00G499620Medicaid
F02080Medicare UPIN