Healthcare Provider Details

I. General information

NPI: 1831167345
Provider Name (Legal Business Name): TONI KAREN MORRISSEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 10/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 ALESSANDRO PL SUITE 440
PASADENA CA
91105-3149
US

IV. Provider business mailing address

50 ALESSANDRO PL SUITE 440
PASADENA CA
91105-3149
US

V. Phone/Fax

Practice location:
  • Phone: 626-440-9190
  • Fax: 626-440-0632
Mailing address:
  • Phone: 626-440-9190
  • Fax: 626-440-0632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA064680
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: