Provider Demographics
NPI:1245698570
Name:WEST, MORGAN (LM, CPM)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2506
Mailing Address - Country:US
Mailing Address - Phone:714-475-4970
Mailing Address - Fax:
Practice Address - Street 1:1618 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94703-1234
Practice Address - Country:US
Practice Address - Phone:714-475-4970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM454176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife