Provider Demographics
NPI:1831153261
Name:MORGAN, CHARLA ROUCHLEAU (DO)
Entity type:Individual
Prefix:DR
First Name:CHARLA
Middle Name:ROUCHLEAU
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1580 JENSEN RANCH RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-4530
Mailing Address - Country:US
Mailing Address - Phone:702-581-8714
Mailing Address - Fax:
Practice Address - Street 1:1418 E MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4836
Practice Address - Country:US
Practice Address - Phone:805-928-3678
Practice Address - Fax:805-928-6408
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS17538207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology