Provider Demographics
NPI:1013083013
Name:RICHARD B MORGAN, MD, INC
Entity Type:Organization
Organization Name:RICHARD B MORGAN, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-340-9981
Mailing Address - Street 1:50 S. SAN MATEO DR
Mailing Address - Street 2:SUITE #270
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3859
Mailing Address - Country:US
Mailing Address - Phone:650-340-9981
Mailing Address - Fax:650-340-1336
Practice Address - Street 1:50 S. SAN MATEO DR
Practice Address - Street 2:SUITE #270
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3859
Practice Address - Country:US
Practice Address - Phone:650-340-9981
Practice Address - Fax:650-340-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG36331207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ23381ZMedicare ID - Type UnspecifiedMEDICARE PROVIDER