PACORPNATION NPI 1629481312

NPI Information

NPI: 1629481312
Provider Name: PACORPNATION
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
12665 GARDEN GROVE BLVD STE 713
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 537-7500
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PACORPNATION is a medical physician assistant in Garden Grove, CA. PACORPNATION NPI is 1629481312. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12665 GARDEN GROVE BLVD STE 713
GARDEN GROVE, CA
ZIP 92843-921
Phone: (714) 537-7500
Fax: (714) 537-2176

The provider's authorized official is Moises Alvarez-fernandez .
The authorized official title is Ceo and has the following contact phone number (559) 920-2873.

The enumeration date for this NPI number is 6/10/2014 and was last updated on 6/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA21762	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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