Marienida Boehn Patam in Irvine - Physician Assistant
Marienida Boehn Patam - NPI 1528224573
Marienida Boehn Patam is a Physician Assistant in Irvine, California. Marienida Boehn Patam practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marienida Boehn Patam is 1528224573. The last update date is 2017-09-12.
Marienida Boehn Patam's current location address is 11 Technology Dr, Irvine, California. You can contact this provider via phone number 9499233277 and fax number 8558125865. The mailing address for Marienida Boehn Patam is 11 Technology Dr, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marienida Boehn Patam |
|---|---|
| Address | 11 Technology Dr, Irvine, California |
| Phone Number | 9499233277 |
| Fax Number | 8558125865 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1528224573 |
|---|---|
| Provider Enumeration Date | 2008-07-30 |
| Last Updated Date | 2017-09-12 |
Provider Mailing Address Detail
| Address | 11 Technology Dr |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926182302 |
| Phone Number | 9499233277 |
| Fax Number | 8558125865 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA19828 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Marienida Boehn Patam by the Centers for Medicare & Medicaid Services?
The Marienida Boehn Patam has been issued the NPI (National Provider Identifier) 1528224573, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marienida Boehn Patam's physical address?
The Marienida Boehn Patam is physically located at 11 Technology Dr, in the city of Irvine, CA, with the postal code 926182302.
What is the Marienida Boehn Patam's area of specialization and corresponding taxonomy classification?
The Marienida Boehn Patam's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When was the Marienida Boehn Patam's 1528224573 issued?
The Marienida Boehn Patam's 1528224573 was issued on 2008-07-30.
As of what date were the details pertaining to Marienida Boehn Patam last refreshed?
The information related to the Marienida Boehn Patam, including its address, specialty, and other relevant details, was last updated on 2017-09-12.
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