Provider Demographics
NPI:1427293125
Name:MORRISSEY, DARLENE (DO)
Entity type:Individual
Prefix:DR
First Name:DARLENE
Middle Name:
Last Name:MORRISSEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:MORRISSEY-HUMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1513 S GRAND AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3075
Mailing Address - Country:US
Mailing Address - Phone:213-742-6400
Mailing Address - Fax:213-742-6089
Practice Address - Street 1:1513 S GRAND AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3070
Practice Address - Country:US
Practice Address - Phone:213-742-6400
Practice Address - Fax:213-742-6089
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A14075207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery