Provider Demographics
NPI:1770587131
Name:KERN, MORTON JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:MORTON
Middle Name:JOSEPH
Last Name:KERN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:UNIV CALIF IRVINE CARDIOLOGY BLDG 53, RT 81, RM 100
Mailing Address - Street 2:101 THE CITY DRIVE
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4080
Mailing Address - Country:US
Mailing Address - Phone:714-456-5742
Mailing Address - Fax:714-456-8895
Practice Address - Street 1:UNIV CALIF IRVINE CARDIOLOGY BLDG 53, RT 81, RM 100
Practice Address - Street 2:101 THE CITY DRIVE
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4080
Practice Address - Country:US
Practice Address - Phone:714-456-5742
Practice Address - Fax:714-456-8895
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-13
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
CAG87067207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA12429Medicare UPIN