National Provider Identifier Database

FORREST C JELLISON, MD – NPI #1508073511
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

FORREST C JELLISON, MD
11370 ANDERSON ST STE 1100
LOMA LINDA, CA92354
Phone: 909-558-4196
Fax: 909-558-4806
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for FORREST C JELLISON

NPI Number 1508073511
Credentials MD
Entity Individual
Enumeration date 05/17/2007
Last updated 06/04/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A98781
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for FORREST C JELLISON, MD

There are currently no reviews for FORREST C JELLISON, MD


NPIdb - Home
v2.201