Provider Demographics
NPI:1023529591
Name:MORPHEUS ANESTHESIA CONSULTANTS LLC
Entity type:Organization
Organization Name:MORPHEUS ANESTHESIA CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNNY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIRCAR
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:909-227-5139
Mailing Address - Street 1:PO BOX 196
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:92346-0196
Mailing Address - Country:US
Mailing Address - Phone:909-227-5139
Mailing Address - Fax:
Practice Address - Street 1:1850 E WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-4621
Practice Address - Country:US
Practice Address - Phone:909-227-5139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty