SOUTHSTATE MEDICAL PHYSICIAN ASSISTANT CORPORATION is a health service clinic center in Santa Ana, CA. SOUTHSTATE MEDICAL PHYSICIAN ASSISTANT CORPORATION NPI is 1184304131. The provider is registered as an organization entity type.
The provider's business location address is:
1043 CIVIC CENTER DR W SANTA ANA, CA ZIP 92703 Phone: (949) 401-2014
The provider's authorized official is Amanda Aden . The authorized official title is Owner and has the following contact phone number (949) 401-2014.
The CLIA number assigned to this NPI record is 05D2308114 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/24/2023 and was last updated on 6/27/2024.
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:
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: 3/30/2025
NPI Synchronization or Removal
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