Israel, Morton Philip
Israel, Morton Philip is an sole proprietor health care provider with primary practice located at 770 Magnolia Ave Suite 1X, Corona CA 92879-3120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Israel, Morton Philip can be contacted via phone (951) 734-9750.Contact Information
Primary practice address
770 Magnolia Ave Suite 1X
Corona CA 92879-3120
Phone: (951) 734-9750
Fax: (951) 734-3404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G19795 | California |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 0788400001 | California |
Profile Details
| NPI number | 1902817158 |
|---|---|
| LBN Legal business name | Israel, Morton Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902817158 | NPPES |
| California | MEDICAID | 00G197950 |
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