Provider Demographics
NPI:1689046476
Name:ARIELLA A MORROW MD MPH, MEDICAL GROUP INC
Entity Type:Organization
Organization Name:ARIELLA A MORROW MD MPH, MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIELLA
Authorized Official - Middle Name:ALIZA
Authorized Official - Last Name:MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD MPH
Authorized Official - Phone:310-800-2080
Mailing Address - Street 1:2080 CENTURY PARK E STE 1605
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90067-2019
Mailing Address - Country:US
Mailing Address - Phone:310-800-2080
Mailing Address - Fax:310-800-2088
Practice Address - Street 1:2080 CENTURY PARK E STE 1605
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067
Practice Address - Country:US
Practice Address - Phone:310-800-2080
Practice Address - Fax:310-800-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-20
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA129854207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty