Healthcare Provider Details

I. General information

NPI: 1821600024
Provider Name (Legal Business Name): DAVID GEORGE MORRISON JR. PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2020
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 N WOLFE AVE
EDWARDS CA
93524-6201
US

IV. Provider business mailing address

55 N WOLFE AVE
EDWARDS CA
93524-6201
US

V. Phone/Fax

Practice location:
  • Phone: 661-277-2145
  • Fax: 661-277-0688
Mailing address:
  • Phone: 661-277-2145
  • Fax: 661-277-0688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: