Provider Demographics
NPI:1689305625
Name:MORKOS, FIFI SOLIMAN
Entity Type:Individual
Prefix:
First Name:FIFI
Middle Name:SOLIMAN
Last Name:MORKOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11930 168TH ST
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-1804
Mailing Address - Country:US
Mailing Address - Phone:562-303-3475
Mailing Address - Fax:
Practice Address - Street 1:11930 168TH ST
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-1804
Practice Address - Country:US
Practice Address - Phone:562-303-3475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker