Eugene Morong, M.d., A Professional Corporation | |
43301 Division St Suite 104 Lancaster CA 93535-4647 | |
(661) 945-9554 | |
(661) 948-3484 |
Full Name | Eugene Morong, M.d., A Professional Corporation |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 43301 Division St, Lancaster, California |
Authorized Official Name and Position | Eugene Morong (OWNER/PHYSICIAN) |
Authorized Official Contact | 6619459554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eugene Morong, M.d., A Professional Corporation 43301 Division St Suite 104 Lancaster CA 93535-4647 Ph: (661) 945-9554 | Eugene Morong, M.d., A Professional Corporation 43301 Division St Suite 104 Lancaster CA 93535-4647 Ph: (661) 945-9554 |
NPI Number | 1023310893 |
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Provider Enumeration Date | 11/29/2010 |
Last Update Date | 11/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023310893 | NPI | - | NPPES |
00A248900 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A24890 (California) | Primary |
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