Healthcare Provider Details

I. General information

NPI: 1750428496
Provider Name (Legal Business Name): FELICITACION SIBAYAN MORRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FELICITACION ARUMAS SIBAYAN MD

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E MARKET ST
LONG BEACH CA
90805-5924
US

IV. Provider business mailing address

8128 ALAMEDA ST
DOWNEY CA
90242
US

V. Phone/Fax

Practice location:
  • Phone: 562-428-4222
  • Fax:
Mailing address:
  • Phone: 562-861-1483
  • Fax: 562-861-2088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA38732
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA38732
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: