MEDICARE: DR. MORGAN E RENNER M.D., M.P.H

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	142841	CA
2	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	142841	CA

General Provider Information

NPI Number	:	1649565920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MORGAN E RENNER M.D., M.P.H

Provider Business Mailing Address
First Line	:	100 E CALIFORNIA BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3205
Country	:	US
Telephone Number	:	562-424-0931
Fax Number	:	844-897-3788

Provider Business Practice Location Address
First Line	:	3816 WOODRUFF AVE STE 100
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2145
Country	:	US
Telephone Number	:	562-424-0931
Fax Number	:	844-897-3788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2011
Last Update Date	:	01/05/2026

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