Basic Information
Provider Information
NPI: 1386891182
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAYIM
FirstName: MORRIS
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 31309
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900310309
CountryCode: US
TelephoneNumber: 3234428541
FaxNumber: 3234428755
Practice Location
Address1: 1500 SAN PABLO ST
Address2: 2ND FLOOR
City: LOS ANGELES
State: CA
PostalCode: 900335313
CountryCode: US
TelephoneNumber: 3234428541
FaxNumber: 3234428755
Other Information
ProviderEnumerationDate: 08/22/2008
LastUpdateDate: 05/26/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XA142050CAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085B0100X264849NYN Allopathic & Osteopathic PhysiciansRadiologyBody Imaging
2085R0202X264849NYN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


Home