Healthcare Provider Details

I. General information

NPI: 1831543156
Provider Name (Legal Business Name): DEVIN MORRIS M.S., D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2016
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 BROOKSHIRE AVE
DOWNEY CA
90241-4917
US

IV. Provider business mailing address

11500 BROOKSHIRE AVE
DOWNEY CA
90241-4917
US

V. Phone/Fax

Practice location:
  • Phone: 562-904-5000
  • Fax:
Mailing address:
  • Phone: 562-904-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A16919
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: