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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 Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for FORREST C JELLISON · (Male)

NPI # 1508073511
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2007
Last updated 06/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A98781
Hospital affiliation(s)
  • ARROWHEAD REGIONAL MEDICAL CENTER - (Acute Care)
    400 NORTH PEPPER AVENUE
    COLTON, CA 92324
  • LOMA LINDA UNIVERSITY MEDICAL CENTER - (Acute Care)
    11234 ANDERSON ST
    LOMA LINDA, CA 92354
  • REDLANDS COMMUNITY HOSPITAL - (Acute Care)
    350 TERRACINA BLVD
    REDLANDS, CA 92373
  • RIVERSIDE COUNTY REGIONAL MEDICAL CENTER - (Acute Care)
    26520 CACTUS AVENUE
    MORENO VALLEY, CA 92555
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.

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