Provider Demographics
NPI:1184903700
Name:MORGIA, MEGUMI TAKEDA (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:MEGUMI
Middle Name:TAKEDA
Last Name:MORGIA
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 HOLLOWGLEN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-3701
Mailing Address - Country:US
Mailing Address - Phone:714-726-2391
Mailing Address - Fax:
Practice Address - Street 1:23 HOLLOWGLEN
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-3701
Practice Address - Country:US
Practice Address - Phone:714-726-2391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-13
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA585579163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant