Healthcare Provider Details

I. General information

NPI: 1003057431
Provider Name (Legal Business Name): WILLIAM JORGE MORRISON RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/15/2009
Last Update Date: 03/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 HAYES CIR
CORONA CA
92879-1160
US

IV. Provider business mailing address

515 HAYES CIR
CORONA CA
92879-1160
US

V. Phone/Fax

Practice location:
  • Phone: 714-724-0943
  • Fax:
Mailing address:
  • Phone: 714-724-0943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number00023401
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: