Organization Active NPI

Eugene Morong, M.D., a Professional Corporation

  • Psychiatry Physician
  • Lancaster, CA
National Provider Identifier
1023310893
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A24890 Issued in CA
Legal business name
EUGENE MORONG, M.D., A PROFESSIONAL CORPORATION
Practice address
43301 Division St
Suite 104
Lancaster, CA 93535-4647
Phone
(661) 945-9554
Fax
(661) 948-3484
NPI assigned
Nov 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eugene Morong, M.D.
Title
Owner/Physician
Phone
(661) 945-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A24890 CA Primary

Addresses

Primary practice location

43301 Division St
Suite 104
Lancaster, CA 93535-4647

Mailing address

43301 Division St
Suite 104
Lancaster, CA 93535-4647
Phone (661) 945-9554

Other identifiers 1

IdentifierTypeStateIssuer
00A248900MedicaidCA

National Provider Directory

National Provider Directory

Locations

43301 Division St
Ste 104
Lancaster, CA 93535
Phone (661) 312-8054

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1023310893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43301 DIVISION ST",
            "address_2": "SUITE 104",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354647",
            "telephone_number": "661-945-9554",
            "fax_number": "661-948-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43301 DIVISION ST",
            "address_2": "SUITE 104",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354647",
            "telephone_number": "661-945-9554",
            "fax_number": "661-948-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE MORONG, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "MORONG",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "661-945-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A24890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A248900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.