Provider Demographics
NPI:1013947712
Name:A MORGENSTEIN MD APC TSUJIMOTO TEMPEST
Entity Type:Organization
Organization Name:A MORGENSTEIN MD APC TSUJIMOTO TEMPEST
Other - Org Name:INFECTIOUS DISEASE CONSULTANTS MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLISTON
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-500-0935
Mailing Address - Street 1:201 S BUENA VISTA ST STE 440
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4577
Mailing Address - Country:US
Mailing Address - Phone:818-500-0935
Mailing Address - Fax:818-500-0728
Practice Address - Street 1:201 S BUENA VISTA ST STE 440
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4577
Practice Address - Country:US
Practice Address - Phone:818-500-0935
Practice Address - Fax:818-500-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0007180Medicaid
CAGR0007180Medicaid