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Contact Information

WEST COAST PEDIATRIC NEUROSURGICAL
1010 WEST LA VETA AVE
SUITE 710
ORANGE, CA92868
 Phone: 714-835-2724
 Fax: 714-835-2751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WEST COAST PEDIATRIC NEUROSURGICAL · (Female)

NPI # 1699889923
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2006
Last updated 03/23/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0090060
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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