Healthcare Provider Details

I. General information

NPI: 1265399018
Provider Name (Legal Business Name): MORGAN HENRY BROWN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 FILLMORE ST
RIVERSIDE CA
92503-5135
US

IV. Provider business mailing address

3791 CORONA AVE
NORCO CA
92860-1473
US

V. Phone/Fax

Practice location:
  • Phone: 951-358-1635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP39264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: