Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Morgan Louis Blakely

Individual provider Anatomic Pathology Physician · NPI 1366838443

Morgan Louis Blakely is a Pathology in Los Angeles, California. Qualified in 2015, 11 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

10833 Le Conte Ave
Los Angeles, CA 90095-6504
Phone: (310) 267-3561
Fax: (310) 267-2058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence A155128 (CA)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence A155128 (CA)

Record details

NPI number1366838443
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2015
Last updated in NPPESFebruary 11, 2022
Mailing address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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