Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bonnie Michelle Moreno Harris, PA

Individual provider Medical Physician Assistant · NPI 1669404380

Mr. Bonnie Michelle Moreno Harris, PA is a Medical Physician Assistant in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2495 Pine Ave
Long Beach, CA 90806-3029
Phone: (562) 477-4244
Fax: (323) 726-9789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA14731 (CA)

Record details

NPI number1669404380
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESJuly 8, 2007

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