Provider Demographics
NPI:1336303809
Name:MORRISON MANAGEMENT SPECIALIST
Entity Type:Organization
Organization Name:MORRISON MANAGEMENT SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NUTRITION MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIYUN
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:SUEN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:760-323-6168
Mailing Address - Street 1:4225 CORTE FAVOR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130
Mailing Address - Country:US
Mailing Address - Phone:760-323-6168
Mailing Address - Fax:
Practice Address - Street 1:4225 CORTE FAVOR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2181
Practice Address - Country:US
Practice Address - Phone:858-775-3270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL442006282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital