| Doctor Name: | MORTON PHILIP ISRAEL |
| NPI Number: | 1902817158 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0788400001 |
| Business Practice Address: | 770 Magnolia Ave Suite 1x Corona, CA - 928793120 |
| Business Phone Number: | 9517349750 |
| Business Fax Number: | 9517343404 |
| Mailing Address: | 770 Magnolia Ave, Suite 1x CORONA |
| State: | CA |
| Postal Code: | 928793120 |
| Phone Number: | 9517349750 |
| Fax Number: | 9517343404 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 11/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 0788400001 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |