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NPI Code Detail

MEDICARE: KRIS J STORKERSEN M D INC

MEDICARE: KRIS J STORKERSEN M D INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1679100721
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRIS J STORKERSEN M D INC
Provider Business Mailing Address
First Line : 400 N PEPPER AVE FL 2
Second Line :
City : COLTON
State : CA
Zip : 92324-1801
Country : US
Telephone Number : 909-580-2505
Fax Number : 909-580-1439
Provider Business Practice Location Address
First Line : 400 N PEPPER AVE FL 2
Second Line :
City : COLTON
State : CA
Zip : 92324-1801
Country : US
Telephone Number : 909-580-2505
Fax Number : 909-580-1439
Authorized Official
Title or Position : DIRECTOR OF OPHTHALMOLOGY
Name : DR. KRIS JOHN STORKERSEN
Credential : M.D.
Telephone Number : 909-213-6737
Provider Enumeration Date : 03/26/2020
Last Update Date : 04/08/2026

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