Provider Demographics
NPI:1588023824
Name:MORIZI, SUE K
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:K
Last Name:MORIZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7527 DRAPER AVE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4802
Mailing Address - Country:US
Mailing Address - Phone:858-412-4776
Mailing Address - Fax:858-412-4060
Practice Address - Street 1:7527 DRAPER AVE
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4802
Practice Address - Country:US
Practice Address - Phone:858-412-4776
Practice Address - Fax:858-412-4060
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA09837284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital