West Coast Pediatric Neurosurgical in Orange - Nurse Practitioner
West Coast Pediatric Neurosurgical - NPI 1699889923
West Coast Pediatric Neurosurgical is a Nurse Practitioner in Orange, California. West Coast Pediatric Neurosurgical practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for West Coast Pediatric Neurosurgical is 1699889923. The last update date is 2010-03-23.
West Coast Pediatric Neurosurgical's current location address is 1010 West La Veta Ave, Orange, California. You can contact this provider via phone number 7148352724 and fax number 7148352751. The mailing address for West Coast Pediatric Neurosurgical is 1010 West La Veta Ave, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Coast Pediatric Neurosurgical |
|---|---|
| Address | 1010 West La Veta Ave, Orange, California |
| Phone Number | 7148352724 |
| Fax Number | 7148352751 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Muhonen G Michael |
| Credentials | MD |
| Telephone Number | 7148352741 |
NPI Number Detail
| NPI Number | 1699889923 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2010-03-23 |
Provider Mailing Address Detail
| Address | 1010 West La Veta Ave |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 92868 |
| Phone Number | 7148352724 |
| Fax Number | 7148352751 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0090060 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to West Coast Pediatric Neurosurgical by the Centers for Medicare & Medicaid Services?
The West Coast Pediatric Neurosurgical has been assigned the NPI (National Provider Identifier) 1699889923 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where West Coast Pediatric Neurosurgical is physically located?
The West Coast Pediatric Neurosurgical is physically situated at the following address: 1010 West La Veta Ave, Orange, CA, 92868.
What is West Coast Pediatric Neurosurgical's area of expertise and its corresponding taxonomy classification?
The West Coast Pediatric Neurosurgical's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699889923 to West Coast Pediatric Neurosurgical?
The Centers for Medicare & Medicaid Services originally issued the 1699889923 to West Coast Pediatric Neurosurgical on 2006-08-17.
As of what date were the details related to West Coast Pediatric Neurosurgical most recently updated or revised?
The information pertaining to West Coast Pediatric Neurosurgical, including its address, specialty, and other relevant details, was last updated or revised on 2010-03-23.
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