Provider Demographics
NPI:1649565920
Name:RENNER, MORGAN E (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:E
Last Name:RENNER
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:100 E CALIFORNIA BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3205
Mailing Address - Country:US
Mailing Address - Phone:562-424-0931
Mailing Address - Fax:844-897-3788
Practice Address - Street 1:3816 WOODRUFF AVE STE 100
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-2145
Practice Address - Country:US
Practice Address - Phone:562-424-0931
Practice Address - Fax:844-897-3788
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA142841207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology