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Contact Information

AMY H ANFUSO, PA-C
1441 AVOCADO AVE #306
NEWPORT BEACH, CA92660
 Phone: 949-644-8556
 Fax: 949-644-8797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AMY H ANFUSO · (Female)

NPI Number 1083024053
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/30/2014
Last updated 04/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
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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