Michael J. Morris
General Practice Physician
Po Box 4574
Crestline
, California 92325-4574
Michael J. Morris
General Practice Physician
Po Box 4574
Crestline
, California 92325-4574
(909) 338-5211
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Michael J. Morris
- Po Box 4574
- Crestline, CA
- Zip : 92325-4574
- Fax : (909) 338-5211
- Phone : (909) 533-7180
Second Address
- Michael J. Morris
- Po Box 4574
- Crestline, CA
- Zip : 92325-4574
- Fax : (909) 338-5211
- Phone : (909) 533-7180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | G-23554 | CA |
National Provider Identifier
| NPI | 1013008648 |
|---|---|
| Provider Name | Michael J. Morris |
| First Address | Crestline, CA 92325-4574 |
| Second Address | Crestline, CA 92325-4574 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G235540 | MEDI-CAL (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.