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NPI Code Detail

MEDICARE: DENETTE MUNCHEL PA

MEDICARE:   DENETTE  MUNCHEL  PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA11622CA

General Provider Information

NPI Number : 1184834699
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENETTE MUNCHEL PA
Provider Business Mailing Address
First Line : 200 W CENTER STREET PROMENADE
Second Line : SUITE 400
City : ANAHEIM
State : CA
Zip : 92805-3960
Country : US
Telephone Number : 714-449-4841
Fax Number : 714-449-4956
Provider Business Practice Location Address
First Line : 1514 VALLEY VISTA DR
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-3929
Country : US
Telephone Number : 909-860-1144
Fax Number : 909-860-8307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 05/08/2017

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Directions to “ DENETTE MUNCHEL PA” Practice Location

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