Healthcare Provider Details

I. General information

NPI: 1639259898
Provider Name (Legal Business Name): ELIZABETH HART MORRISON-BANKS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH HART MORRISON MD

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 BROCKTON AVE STE 302-2
RIVERSIDE CA
92506-0174
US

IV. Provider business mailing address

1501 VIOLET ST
COLTON CA
92324-1603
US

V. Phone/Fax

Practice location:
  • Phone: 951-742-5255
  • Fax: 951-717-8609
Mailing address:
  • Phone: 909-498-0687
  • Fax: 951-717-8609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberG79545
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: