Provider Demographics
NPI:1518913581
Name:WILLIAM S MORGAN MD FAAP INC
Entity Type:Organization
Organization Name:WILLIAM S MORGAN MD FAAP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-473-3262
Mailing Address - Street 1:154 TRAFFIC WAY
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-3341
Mailing Address - Country:US
Mailing Address - Phone:805-473-3262
Mailing Address - Fax:805-473-3707
Practice Address - Street 1:154 TRAFFIC WAY
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-3341
Practice Address - Country:US
Practice Address - Phone:805-473-3262
Practice Address - Fax:805-473-3707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2223372208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ64214ZOtherBLUE SHIELD OF CA GRP PIN
CAGR0099170Medicaid