Morty Morris Ervin Jr., IDC

Military Health Care Provider, Independent Duty Corpsman in San Diego, CA. Individual provider (NPI-1).

NPI number1508252768

StatusActive

Last updated in NPPESApr 14, 2015

Details

NPI: 1508252768
Entity type: Individual (NPI-1)
Name: Morty Morris Ervin Jr.
Credential: IDC
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 14, 2015
Last updated: Apr 14, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1710I1002X	Military Health Care Provider, Independent Duty Corpsman	–	–	Yes

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Phone 619-796-9336

Mailing address

34800 Bob Wilson Dr # 92134
San Diego, CA 92134-1098

Phone 619-796-9336

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Independent Duty Corpsman providers in San Diego, CA

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