Healthcare Provider Details

I. General information

NPI: 1568992113
Provider Name (Legal Business Name): ELIZABETH ANNE TRENT MOROSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH ANNE TRENT MD

II. Dates (important events)

Enumeration Date: 06/15/2017
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 WARNER AVE STE 368
FOUNTAIN VALLEY CA
92708-7514
US

IV. Provider business mailing address

905 1/2 OCEAN AVE
SEAL BEACH CA
90740-7939
US

V. Phone/Fax

Practice location:
  • Phone: 714-241-1777
  • Fax:
Mailing address:
  • Phone: 864-238-5367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number81585
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number131177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: