Healthcare Provider Details
I. General information
NPI: 1114959434
Provider Name (Legal Business Name): PATRICIA A. STRACHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4870 BARRANCA PKWY SUITE 200
IRVINE CA
92604-4709
US
IV. Provider business mailing address
4870 BARRANCA PKWY SUITE 200
IRVINE CA
92604-4709
US
V. Phone/Fax
- Phone: 949-559-4870
- Fax:
- Phone: 949-559-4870
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | A43152 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: