Individual provider · Type 1 NPI
Bonnie Michelle Moreno Harris, PA
Medical Physician Assistant · Long Beach, CA
NPI number
1669404380
Active
Practice location
2495 Pine Ave
Long Beach, CA 90806-3029
Fax (323) 726-9789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA14731 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1669404380
Bonnie Michelle Moreno Harris, PA's National Provider Identifier is 1669404380, issued on Jul 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Long Beach, CA. The record was last updated on Jul 8, 2007.