Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | A134647 | CA |
Y | 207YP0228X | Pediatric Otolaryngology | A134647 | CA |
NPI | 1760707657 |
---|---|
Provider Name | Dr. Morgan Renee Bliss |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2010 |
Last Update Date | 08/09/2016 |