Provider Demographics
NPI:1841925039
Name:POPEK, MORGAN (DC)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:POPEK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30301 GOLDEN LANTERN STE C
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-5990
Mailing Address - Country:US
Mailing Address - Phone:714-482-3114
Mailing Address - Fax:
Practice Address - Street 1:30301 GOLDEN LANTERN
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-5990
Practice Address - Country:US
Practice Address - Phone:949-994-9905
Practice Address - Fax:949-994-9908
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor