Organization
JARED B MORRIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED B MORRIS MD (PRESIDENT)
(323) 933-5797
Entity
Organization
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 1210, LOS ANGELES, CA 90048
(323) 933-5797
(323) 933-8168
Mailing address
6200 WILSHIRE BLVD, SUITE 1210, LOS ANGELES, CA 90048
(323) 933-5797
(323) 933-8168
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A20821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A208210
—
CA
01
—
WA20821A
MEDICARE
—
01
—
ZZZ22389Z
BLUE SHIELD
CA
Enumeration date
11/27/2006
Last updated
09/15/2010
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