Provider Demographics
NPI:1831293950
Name:JOEL R MORTON DO INC
Entity Type:Organization
Organization Name:JOEL R MORTON DO INC
Other - Org Name:PREFERRED BEHAVIORAL MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-307-9824
Mailing Address - Street 1:245 TERRACINA BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373
Mailing Address - Country:US
Mailing Address - Phone:909-307-9824
Mailing Address - Fax:909-335-9634
Practice Address - Street 1:245 TERRACINA BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373
Practice Address - Country:US
Practice Address - Phone:909-307-9824
Practice Address - Fax:909-335-9634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty